G0469
HCPCS Procedure Code
HCPCS code G0469 is the #2,987 most-billed Medicaid procedure code, with $2.8M in payments across 57K claims from 2018–2024. The national median cost per claim is $70.42. Costs vary widely — the 90th percentile is $217.79 per claim, 3.1× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
57K
Providers
84
Avg Cost/Claim
$49
National Cost Distribution
How much do providers bill per claim for G0469? Based on 79 providers billing this code nationally.
Median
$70.42
Average
$102.45
Std Dev
$107.11
Max
$640.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.80 and $126.00 per claim for this code.
90% bill between $16.25 and $217.79.
Top 1% bill above $529.66.
About This Procedure
HCPCS code G0469 was billed by 84 providers across 57K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$70.42
Providers Billing
79
National Spending
$2.8M
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0469
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811065576 | $551K |
| 2 | 1518945278 | $416K |
| 3 | 1023560331 | $304K |
| 4 | 1497833271 | $198K |
| 5 | 1598202913 | $171K |
| 6 | 1265591812 | $142K |
| 7 | 1497148407 | $109K |
| 8 | 1326055450 | $107K |
| 9 | 1689693343 | $99K |
| 10 | 1366519431 | $91K |
| 11 | 1700178167 | $73K |
| 12 | 1366582090 | $57K |
| 13 | Greenville Rancheria Red Bluff, CA · Clinic/Center Community Health | $51K |
| 14 | 1013952597 | $42K |
| 15 | 1043501539 | $37K |
| 16 | 1023008349 | $33K |
| 17 | 1700801263 | $27K |
| 18 | 1548663875 | $23K |
| 19 | 1073711057 | $19K |
| 20 | 1811171978 | $18K |
Showing top 20 of 84 providers billing this code