#3336 of 11K

G0659

HCPCS Procedure Code

HCPCS code G0659 is the #3,336 most-billed Medicaid procedure code, with $1.9M in payments across 42K claims from 2018–2024. The national median cost per claim is $32.24.

Total Paid

$1.9M

0.00% of all spending

Total Claims

42K

Providers

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for G0659? Based on 32 providers billing this code nationally.

Median

$32.24

Average

$31.67

Std Dev

$25.79

Max

$83.15

Percentile Distribution (Cost per Claim)

p10

$0.48

p25

$5.02

Median

$32.24

p75

$53.16

p90

$60.42

p95

$80.13

p99

$82.29

50% of providers bill between $5.02 and $53.16 per claim for this code.

90% bill between $0.48 and $60.42.

Top 1% bill above $82.29.

About This Procedure

HCPCS code G0659 was billed by 41 providers across 42K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.24

Providers Billing

National Spending

$1.9M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0659

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1710337985	$702K	$79.92	2.5× median	Top 10%
2	1982099438	$344K	$57.61	1.8× median	Above 75th
3	1285861773	$335K	$54.13	1.7× median	Above 75th
4	1780948885	$289K	$60.59	1.9× median	Top 10%
5	1538113725	$80K	$83.15	2.6× median	Top 1%
6	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$23K	$35.76	1.1× median	Above Median
7	1992888184	$20K	$36.17	1.1× median	Above Median
8	1871141366	$14K	$21.24	0.7× median	Below Median
9	1215048913	$13K	$32.45	1.0× median	Above Median
10	1457851578	$12K	$27.56	0.9× median	Below Median
11	1073530879	$10K	$80.39	2.5× median	Top 10%
12	1740211663	$9K	$58.88	1.8× median	Above 75th
13	1467823328	$7K	$32.30	1.0× median	Above Median
14	1316040249	$7K	$32.17	1.0× median	Below Median
15	1295781227	$5K	$3.12	0.1× median	Below Median
16	1750305355	$5K	$39.61	1.2× median	Above Median
17	1568589802	$4K	$52.88	1.6× median	Above Median
18	1497247894	$3K	$23.18	0.7× median	Below Median
19	1972774529	$3K	$8.64	0.3× median	Below Median
20	University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital	$2K	$54.00	1.7× median	Above 75th

Showing top 20 of 41 providers billing this code

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