#2856 of 11K

G6002

HCPCS Procedure Code

HCPCS code G6002 is the #2,856 most-billed Medicaid procedure code, with $3.3M in payments across 169K claims from 2018–2024. The national median cost per claim is $14.14. Costs vary widely — the 90th percentile is $43.01 per claim, 3.0× the median.

Total Paid

$3.3M

0.00% of all spending

Total Claims

169K

Providers

156

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for G6002? Based on 153 providers billing this code nationally.

Median

$14.14

Average

$21.06

Std Dev

$25.08

Max

$205.00

Percentile Distribution (Cost per Claim)

p10

$6.49

p25

$9.96

Median

$14.14

p75

$22.31

p90

$43.01

p95

$61.96

p99

$126.65

50% of providers bill between $9.96 and $22.31 per claim for this code.

90% bill between $6.49 and $43.01.

Top 1% bill above $126.65.

About This Procedure

HCPCS code G6002 was billed by 156 providers across 169K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.14

Providers Billing

153

National Spending

$3.3M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G6002

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1407861818	$479K	$30.93	2.2× median	Above 75th
2	1427256957	$197K	$15.78	1.1× median	Above Median
3	1699707885	$194K	$59.14	4.2× median	Top 10%
4	1033183603	$180K	$43.92	3.1× median	Top 10%
5	1871886366	$156K	$31.34	2.2× median	Above 75th
6	1457337719	$128K	$22.68	1.6× median	Above 75th
7	1083661607	$122K	$15.76	1.1× median	Above Median
8	Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization	$120K	$174.54	12.3× median	Top 1%
9	1588721500	$116K	$11.97	0.8× median	Below Median
10	1699131789	$73K	$8.85	0.6× median	Below Median
11	1922074434	$71K	$15.69	1.1× median	Above Median
12	1922099811	$71K	$18.65	1.3× median	Above Median
13	1285746636	$62K	$49.04	3.5× median	Top 10%
14	1326091448	$57K	$19.62	1.4× median	Above Median
15	1467840488	$55K	$14.89	1.1× median	Above Median
16	1073568879	$51K	$11.77	0.8× median	Below Median
17	1912978834	$42K	$66.19	4.7× median	Top 10%
18	1568506103	$42K	$13.29	0.9× median	Below Median
19	1437102092	$42K	$23.38	1.7× median	Above 75th
20	1770534687	$40K	$13.69	1.0× median	Below Median

Showing top 20 of 156 providers billing this code

Related Procedures

G6012$1.6M G6001$561K G6003$10K

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