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#5417 of 11K

G9557

HCPCS Procedure Code

HCPCS code G9557 is the #5,417 most-billed Medicaid procedure code, with $205K in payments across 584K claims from 2018–2024. The national median cost per claim is $0.06. Costs vary widely — the 90th percentile is $4.32 per claim, 72.0× the median.

Total Paid

$205K

0.00% of all spending

Total Claims

584K

Providers

475

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9557? Based on 62 providers billing this code nationally.

Median

$0.06

Average

$1.52

Std Dev

$3.64

Max

$22.95

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.06
p75
$0.84
p90
$4.32
p95
$7.86
p99
$15.75

50% of providers bill between $0.00 and $0.84 per claim for this code.

90% bill between $0.00 and $4.32.

Top 1% bill above $15.75.

About This Procedure

HCPCS code G9557 was billed by 475 providers across 584K claims, totaling $205K in Medicaid payments from 2018–2024. This code was used for 486K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.06

Providers Billing

62

National Spending

$205K

Avg/Median Ratio

25.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9557

#ProviderTotal Paid
11922092568$48K
21154335487$37K
31811996960$30K
41457339277$21K
51649275728$18K
61326450156$15K
71326070244$9K
81114982808$8K
91497148456$6K
101740482686$4K
111760419279$1K
121477582526$806
131083669121$743
141699711564$734
15Medstar Medical Group Ii Llc

Baltimore, MD · General Practice

$642
161093809212$610
171306137146$475
181881670248$434
191851348957$424
201831123868$384

Showing top 20 of 475 providers billing this code