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#9227 of 11K

G2197

HCPCS Procedure Code

HCPCS code G2197 is the #9,227 most-billed Medicaid procedure code, with $191 in payments across 114K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $0.25 per claim, 25.0× the median.

Total Paid

$191

0.00% of all spending

Total Claims

114K

Providers

82

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G2197? Based on 5 providers billing this code nationally.

Median

$0.01

Average

$0.10

Std Dev

$0.13

Max

$0.26

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.01
p75
$0.22
p90
$0.25
p95
$0.25
p99
$0.26

50% of providers bill between $0.01 and $0.22 per claim for this code.

90% bill between $0.00 and $0.25.

Top 1% bill above $0.26.

About This Procedure

HCPCS code G2197 was billed by 82 providers across 114K claims, totaling $191 in Medicaid payments from 2018–2024. This code was used for 71K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

5

National Spending

$191

Avg/Median Ratio

10.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G2197

#ProviderTotal Paid
11104067941$115
21184739799$66
31396171542$5
41144984873$5
51063831303$0
61033409198$0
71124026216$0
81780631804$0
91649055120$0
101407228695$0
111487885224$0
121407486905$0
131720631708$0
141669975900$0
151407015704$0
161598853889$0
171912927344$0
181720067705$0
191548589666$0
201093702367$0

Showing top 20 of 82 providers billing this code