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

#7875 of 11K

G9273

HCPCS Procedure Code

HCPCS code G9273 is the #7,875 most-billed Medicaid procedure code, with $9K in payments across 98K claims from 2018–2024. The national median cost per claim is $0.09. Costs vary widely — the 90th percentile is $1.23 per claim, 13.7× the median.

Total Paid

$9K

0.00% of all spending

Total Claims

98K

Providers

78

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9273? Based on 6 providers billing this code nationally.

Median

$0.09

Average

$0.44

Std Dev

$0.65

Max

$1.58

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.09
p75
$0.70
p90
$1.23
p95
$1.40
p99
$1.54

50% of providers bill between $0.00 and $0.70 per claim for this code.

90% bill between $0.00 and $1.23.

Top 1% bill above $1.54.

About This Procedure

HCPCS code G9273 was billed by 78 providers across 98K claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.09

Providers Billing

6

National Spending

$9K

Avg/Median Ratio

4.89×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9273

#ProviderTotal Paid
11538441761$9K
21609124221$231
31154471126$45
41306088562$4
51255632873$0
61295811636$0
71255408365$0
81043936735$0
91154497865$0
101861555294$0
111679749808$0
121285107698$0
131396017497$0
141629037577$0
151356580625$0
161811936651$0
171891044657$0
181578076469$0
191053663575$0
201689158487$0

Showing top 20 of 78 providers billing this code