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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Gravity Diagnostics, Llc Covington, KY · Clinical Medical Laboratory | $342K |
| 2 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $287K |
| 3 | 1922586254 | $220K |
| 4 | 1528036050 | $169K |
| 5 | 1861749194 | $155K |
| 6 | 1003883125 | $152K |
| 7 | 1285690248 | $150K |
| 8 | 1154799948 | $135K |
| 9 | 1942278270 | $132K |
| 10 | 1619945946 | $130K |
| 11 | 1699102715 | $105K |
| 12 | 1003229766 | $102K |
| 13 | 1962470773 | $97K |
| 14 | 1841268596 | $96K |
| 15 | 1538487897 | $87K |
| 16 | 1528113156 | $86K |
| 17 | 1154399491 | $81K |
| 18 | 1295021095 | $77K |
| 19 | 1952809758 | $75K |
| 20 | 1962851006 | $72K |
Showing top 20 of 1K providers billing this code