G0494
HCPCS Procedure Code
HCPCS code G0494 is the #5,995 most-billed Medicaid procedure code, with $108K in payments across 57K claims from 2018–2024. The national median cost per claim is $15.39. Costs vary widely — the 90th percentile is $84.10 per claim, 5.5× the median.
Total Paid
$108K
0.00% of all spending
Total Claims
57K
Providers
81
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for G0494? Based on 15 providers billing this code nationally.
Median
$15.39
Average
$31.61
Std Dev
$42.00
Max
$134.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.44 and $57.86 per claim for this code.
90% bill between $0.50 and $84.10.
Top 1% bill above $128.43.
About This Procedure
HCPCS code G0494 was billed by 81 providers across 57K claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.39
Providers Billing
15
National Spending
$108K
Avg/Median Ratio
2.05×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0494
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215297478 | $20K |
| 2 | 1598367583 | $17K |
| 3 | 1801042866 | $15K |
| 4 | 1033210844 | $13K |
| 5 | 1245261858 | $12K |
| 6 | 1871748210 | $11K |
| 7 | 1912052838 | $10K |
| 8 | 1073595245 | $4K |
| 9 | 1669420337 | $3K |
| 10 | 1710473673 | $1K |
| 11 | 1912995127 | $1K |
| 12 | 1225096886 | $876 |
| 13 | 1558366211 | $501 |
| 14 | 1912964818 | $131 |
| 15 | 1265421580 | $106 |
| 16 | 1669994471 | $0 |
| 17 | 1811226764 | $0 |
| 18 | 1366694010 | $0 |
| 19 | 1942608724 | $0 |
| 20 | 1609264597 | $0 |
Showing top 20 of 81 providers billing this code