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#7962 of 11K

G0491

HCPCS Procedure Code

HCPCS code G0491 is the #7,962 most-billed Medicaid procedure code, with $8K in payments across 1,278 claims from 2018–2024. The national median cost per claim is $12.95.

Total Paid

$8K

0.00% of all spending

Total Claims

1,278

Providers

2

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for G0491? Based on 2 providers billing this code nationally.

Median

$12.95

Average

$12.95

Std Dev

$11.51

Max

$21.09

Percentile Distribution (Cost per Claim)

p10
$6.44
p25
$8.88
Median
$12.95
p75
$17.02
p90
$19.47
p95
$20.28
p99
$20.93

50% of providers bill between $8.88 and $17.02 per claim for this code.

90% bill between $6.44 and $19.47.

Top 1% bill above $20.93.

About This Procedure

HCPCS code G0491 was billed by 2 providers across 1,278 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 114 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.95

Providers Billing

2

National Spending

$8K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.