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#2388 of 11K

G0499

HCPCS Procedure Code

HCPCS code G0499 is the #2,388 most-billed Medicaid procedure code, with $6.2M in payments across 357K claims from 2018–2024. The national median cost per claim is $2.76. Costs vary widely — the 90th percentile is $148.11 per claim, 53.7× the median.

Total Paid

$6.2M

0.00% of all spending

Total Claims

357K

Providers

1K

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for G0499? Based on 410 providers billing this code nationally.

Median

$2.76

Average

$45.37

Std Dev

$71.43

Max

$364.30

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.24
Median
$2.76
p75
$82.39
p90
$148.11
p95
$186.84
p99
$296.12

50% of providers bill between $0.24 and $82.39 per claim for this code.

90% bill between $0.04 and $148.11.

Top 1% bill above $296.12.

About This Procedure

HCPCS code G0499 was billed by 1K providers across 357K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 228K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.76

Providers Billing

410

National Spending

$6.2M

Avg/Median Ratio

16.44×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0499

#ProviderTotal Paid
1Gravity Diagnostics, Llc

Covington, KY · Clinical Medical Laboratory

$342K
2Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$287K
31922586254$220K
41528036050$169K
51861749194$155K
61003883125$152K
71285690248$150K
81154799948$135K
91942278270$132K
101619945946$130K
111699102715$105K
121003229766$102K
131962470773$97K
141841268596$96K
151538487897$87K
161528113156$86K
171154399491$81K
181295021095$77K
191952809758$75K
201962851006$72K

Showing top 20 of 1K providers billing this code