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#877 of 11K

G9003

HCPCS Procedure Code

HCPCS code G9003 is the #877 most-billed Medicaid procedure code, with $63.9M in payments across 202K claims from 2018–2024. The national median cost per claim is $46.36. Costs vary widely — the 90th percentile is $291.36 per claim, 6.3× the median.

Total Paid

$63.9M

0.01% of all spending

Total Claims

202K

Providers

75

Avg Cost/Claim

$317

National Cost Distribution

How much do providers bill per claim for G9003? Based on 73 providers billing this code nationally.

Median

$46.36

Average

$168.99

Std Dev

$405.99

Max

$2,000.05

Percentile Distribution (Cost per Claim)

p10
$29.48
p25
$36.26
Median
$46.36
p75
$60.42
p90
$291.36
p95
$1,239.71
p99
$1,988.15

50% of providers bill between $36.26 and $60.42 per claim for this code.

90% bill between $29.48 and $291.36.

Top 1% bill above $1,988.15.

About This Procedure

HCPCS code G9003 was billed by 75 providers across 202K claims, totaling $63.9M in Medicaid payments from 2018–2024. This code was used for 164K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.36

Providers Billing

73

National Spending

$63.9M

Avg/Median Ratio

3.65×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9003

#ProviderTotal Paid
11144268848$41.3M
21740211333$9.8M
31689726515$2.9M
41811049653$2.4M
51093935959$1.8M
61770136418$1.5M
71215577051$1.5M
81124530407$785K
91003031436$732K
101689955098$630K
111154465904$96K
121669516415$37K
131144692872$35K
141174667943$34K
151609919703$31K
161477697290$30K
171659414738$29K
181417090754$29K
191740323088$26K
201083758858$24K

Showing top 20 of 75 providers billing this code