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#7696 of 11K

G9226

HCPCS Procedure Code

HCPCS code G9226 is the #7,696 most-billed Medicaid procedure code, with $12K in payments across 178K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $9.38 per claim, 938.0× the median.

Total Paid

$12K

0.00% of all spending

Total Claims

178K

Providers

358

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9226? Based on 46 providers billing this code nationally.

Median

$0.01

Average

$2.47

Std Dev

$5.86

Max

$23.67

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.01
p75
$0.12
p90
$9.38
p95
$17.62
p99
$22.59

50% of providers bill between $0.01 and $0.12 per claim for this code.

90% bill between $0.00 and $9.38.

Top 1% bill above $22.59.

About This Procedure

HCPCS code G9226 was billed by 358 providers across 178K claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 154K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

46

National Spending

$12K

Avg/Median Ratio

247.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9226

#ProviderTotal Paid
11184667396$3K
21245500040$2K
31437199742$2K
41962418921$1K
51013042480$1K
61306965587$264
71518082080$263
81467675009$257
91992987879$134
101154344927$126
111386187540$120
121962532218$93
131407243223$58
141699762286$50
151649481623$41
161710343652$25
171598703506$24
181144235516$13
191134622970$12
201114085065$5

Showing top 20 of 358 providers billing this code