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#9016 of 11K

G9561

HCPCS Procedure Code

HCPCS code G9561 is the #9,016 most-billed Medicaid procedure code, with $550 in payments across 58K claims from 2018–2024. The national median cost per claim is $0.02. Costs vary widely — the 90th percentile is $1.63 per claim, 81.5× the median.

Total Paid

$550

0.00% of all spending

Total Claims

58K

Providers

56

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9561? Based on 4 providers billing this code nationally.

Median

$0.02

Average

$0.59

Std Dev

$1.15

Max

$2.31

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.02
p75
$0.62
p90
$1.63
p95
$1.97
p99
$2.25

50% of providers bill between $0.00 and $0.62 per claim for this code.

90% bill between $0.00 and $1.63.

Top 1% bill above $2.25.

About This Procedure

HCPCS code G9561 was billed by 56 providers across 58K claims, totaling $550 in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.02

Providers Billing

4

National Spending

$550

Avg/Median Ratio

29.50×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9561

#ProviderTotal Paid
11376894931$539
21700971819$10
31811984099$0
41821503343$0
51831337500$0
61043473358$0
71184741407$0
81376642900$0
91396816963$0
101922285212$0
111013468172$0
121912387432$0
131740261296$0
141720171879$0
151811100043$0
161366433369$0
171407821796$0
181285007989$0
191457387078$0
201083079941$0

Showing top 20 of 56 providers billing this code