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#7596 of 11K

G1003

HCPCS Procedure Code

HCPCS code G1003 is the #7,596 most-billed Medicaid procedure code, with $14K in payments across 50K claims from 2018–2024. The national median cost per claim is $0.54. Costs vary widely — the 90th percentile is $1.78 per claim, 3.3× the median.

Total Paid

$14K

0.00% of all spending

Total Claims

50K

Providers

121

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G1003? Based on 38 providers billing this code nationally.

Median

$0.54

Average

$1.36

Std Dev

$2.96

Max

$15.61

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.17
Median
$0.54
p75
$1.22
p90
$1.78
p95
$5.03
p99
$13.70

50% of providers bill between $0.17 and $1.22 per claim for this code.

90% bill between $0.02 and $1.78.

Top 1% bill above $13.70.

About This Procedure

HCPCS code G1003 was billed by 121 providers across 50K claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.54

Providers Billing

38

National Spending

$14K

Avg/Median Ratio

2.52×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G1003

#ProviderTotal Paid
11487045100$4K
21215974134$1K
31639116726$1K
41174579155$930
51164469243$555
61790732303$507
71841237930$475
81538115696$388
91992731590$335
101639128820$331
111699721589$324
12The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$315
131407801673$289
141447206438$289
151083668669$250
161023387479$238
171992751879$212
181144274770$190
191518911031$167
201205880945$154

Showing top 20 of 121 providers billing this code