#5427 of 11K

G2214

HCPCS Procedure Code

HCPCS code G2214 is the #5,427 most-billed Medicaid procedure code, with $202K in payments across 14K claims from 2018–2024. The national median cost per claim is $16.37. Costs vary widely — the 90th percentile is $41.30 per claim, 2.5× the median.

Total Paid

$202K

0.00% of all spending

Total Claims

14K

Providers

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for G2214? Based on 25 providers billing this code nationally.

Median

$16.37

Average

$18.63

Std Dev

$16.91

Max

$64.84

Percentile Distribution (Cost per Claim)

p10

$1.73

p25

$2.98

Median

$16.37

p75

$25.46

p90

$41.30

p95

$44.01

p99

$59.88

50% of providers bill between $2.98 and $25.46 per claim for this code.

90% bill between $1.73 and $41.30.

Top 1% bill above $59.88.

About This Procedure

HCPCS code G2214 was billed by 32 providers across 14K claims, totaling $202K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.37

Providers Billing

National Spending

$202K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G2214

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1578595971	$78K	$32.52	2.0× median	Above 75th
2	1710336094	$55K	$38.15	2.3× median	Above 75th
3	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$12K	$44.17	2.7× median	Top 10%
4	1669975900	$11K	$16.37	1.0× median	Above Median
5	1407483175	$10K	$2.78	0.2× median	Below Median
6	1588378830	$8K	$18.05	1.1× median	Above Median
7	1669402848	$7K	$21.70	1.3× median	Above Median
8	1194182543	$5K	$15.65	1.0× median	Below Median
9	1275820110	$4K	$33.41	2.0× median	Above 75th
10	1366472326	$4K	$21.72	1.3× median	Above Median
11	1003990318	$2K	$24.60	1.5× median	Above Median
12	1720108939	$2K	$1.55	0.1× median	Below Median
13	1922497908	$2K	$9.96	0.6× median	Below Median
14	1881950038	$973	$64.84	4.0× median	Top 1%
15	1952485351	$631	$24.29	1.5× median	Above Median
16	1063965093	$521	$43.41	2.7× median	Top 10%
17	1629558978	$516	$6.14	0.4× median	Below Median
18	1174940506	$407	$25.46	1.6× median	Above 75th
19	1700869450	$183	$2.62	0.2× median	Below Median
20	1336447002	$134	$2.00	0.1× median	Below Median

Showing top 20 of 32 providers billing this code

Related Procedures

G2212Prolonged office/outpatient E/M, each additional 15 min$289.9M G2211$17.4M G2215$53K G2213$11K G2204$0

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