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#6724 of 11K

G9638

HCPCS Procedure Code

HCPCS code G9638 is the #6,724 most-billed Medicaid procedure code, with $46K in payments across 360K claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $2.47 per claim, 82.3× the median.

Total Paid

$46K

0.00% of all spending

Total Claims

360K

Providers

298

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9638? Based on 36 providers billing this code nationally.

Median

$0.03

Average

$0.93

Std Dev

$2.20

Max

$10.44

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.03
p75
$0.45
p90
$2.47
p95
$5.90
p99
$8.93

50% of providers bill between $0.00 and $0.45 per claim for this code.

90% bill between $0.00 and $2.47.

Top 1% bill above $8.93.

About This Procedure

HCPCS code G9638 was billed by 298 providers across 360K claims, totaling $46K in Medicaid payments from 2018–2024. This code was used for 283K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.03

Providers Billing

36

National Spending

$46K

Avg/Median Ratio

31.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9638

#ProviderTotal Paid
11285633370$9K
21811996960$9K
31942214846$9K
41376054874$8K
51326070244$4K
61881670248$3K
71578505202$1K
81861451858$625
91114012671$394
101699711564$342
111306137146$319
121447450010$215
131033136080$186
141609865708$108
151306881800$65
161245245984$58
171649465055$42
181720561186$21
191154335487$15
201043341902$15

Showing top 20 of 298 providers billing this code