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

#9160 of 11K

G9174

HCPCS Procedure Code

HCPCS code G9174 is the #9,160 most-billed Medicaid procedure code, with $284 in payments across 643 claims from 2018–2024. The national median cost per claim is $2.38. Costs vary widely — the 90th percentile is $11.07 per claim, 4.7× the median.

Total Paid

$284

0.00% of all spending

Total Claims

643

Providers

7

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9174? Based on 3 providers billing this code nationally.

Median

$2.38

Average

$5.36

Std Dev

$6.90

Max

$13.25

Percentile Distribution (Cost per Claim)

p10
$0.84
p25
$1.41
Median
$2.38
p75
$7.81
p90
$11.07
p95
$12.16
p99
$13.03

50% of providers bill between $1.41 and $7.81 per claim for this code.

90% bill between $0.84 and $11.07.

Top 1% bill above $13.03.

About This Procedure

HCPCS code G9174 was billed by 7 providers across 643 claims, totaling $284 in Medicaid payments from 2018–2024. This code was used for 452 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.38

Providers Billing

3

National Spending

$284

Avg/Median Ratio

2.25×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9174

#ProviderTotal Paid
11295112258$199
21740449586$57
3University Of Kentucky

Lexington, KY · General Acute Care Hospital

$28
41730194432$0
51477760197$0
61396213492$0
71700942067$0

Showing top 7 of 7 providers billing this code