Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5191 of 11K

G6013

HCPCS Procedure Code

HCPCS code G6013 is the #5,191 most-billed Medicaid procedure code, with $266K in payments across 1,454 claims from 2018–2024. The national median cost per claim is $178.33.

Total Paid

$266K

0.00% of all spending

Total Claims

1,454

Providers

8

Avg Cost/Claim

$183

National Cost Distribution

How much do providers bill per claim for G6013? Based on 8 providers billing this code nationally.

Median

$178.33

Average

$204.66

Std Dev

$150.11

Max

$540.00

Percentile Distribution (Cost per Claim)

p10
$100.29
p25
$161.29
Median
$178.33
p75
$207.07
p90
$316.26
p95
$428.13
p99
$517.63

50% of providers bill between $161.29 and $207.07 per claim for this code.

90% bill between $100.29 and $316.26.

Top 1% bill above $517.63.

About This Procedure

HCPCS code G6013 was billed by 8 providers across 1,454 claims, totaling $266K in Medicaid payments from 2018–2024. This code was used for 333 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$178.33

Providers Billing

8

National Spending

$266K

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G6013

#ProviderTotal Paid
11134450596$135K
21336752039$40K
31912978834$28K
41780107797$24K
51588778484$14K
6Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$12K
71578587671$10K
81083661607$1K

Showing top 8 of 8 providers billing this code