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#5862 of 11K

G9500

HCPCS Procedure Code

HCPCS code G9500 is the #5,862 most-billed Medicaid procedure code, with $127K in payments across 209K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $11.11 per claim, 1111.0× the median.

Total Paid

$127K

0.00% of all spending

Total Claims

209K

Providers

340

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for G9500? Based on 57 providers billing this code nationally.

Median

$0.01

Average

$3.38

Std Dev

$8.16

Max

$42.98

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$1.09
p90
$11.11
p95
$20.47
p99
$33.84

50% of providers bill between $0.00 and $1.09 per claim for this code.

90% bill between $0.00 and $11.11.

Top 1% bill above $33.84.

About This Procedure

HCPCS code G9500 was billed by 340 providers across 209K claims, totaling $127K in Medicaid payments from 2018–2024. This code was used for 174K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

57

National Spending

$127K

Avg/Median Ratio

338.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9500

#ProviderTotal Paid
11982893483$41K
21326450156$24K
31154335487$24K
41104960558$14K
51457339277$9K
61679769434$6K
71093809212$2K
8Medstar Medical Group Ii Llc

Baltimore, MD · General Practice

$1K
91780676585$1K
101326091380$1K
111447587126$890
121578505202$837
131164552642$650
141487608931$637
151154502151$400
161447450010$322
171801886700$207
181477808657$167
191942214846$113
201013935709$82

Showing top 20 of 340 providers billing this code