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

#7513 of 11K

G9655

HCPCS Procedure Code

HCPCS code G9655 is the #7,513 most-billed Medicaid procedure code, with $16K in payments across 114K claims from 2018–2024. The national median cost per claim is $0.14. Costs vary widely — the 90th percentile is $8.31 per claim, 59.4× the median.

Total Paid

$16K

0.00% of all spending

Total Claims

114K

Providers

71

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9655? Based on 7 providers billing this code nationally.

Median

$0.14

Average

$2.49

Std Dev

$4.18

Max

$9.63

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.05
Median
$0.14
p75
$3.79
p90
$8.31
p95
$8.97
p99
$9.50

50% of providers bill between $0.05 and $3.79 per claim for this code.

90% bill between $0.01 and $8.31.

Top 1% bill above $9.50.

About This Procedure

HCPCS code G9655 was billed by 71 providers across 114K claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 91K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.14

Providers Billing

7

National Spending

$16K

Avg/Median Ratio

17.79×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9655

#ProviderTotal Paid
11710110499$10K
21811997869$3K
31477582526$2K
41306041603$515
51174546097$195
61811442874$74
71003006743$0
81790711844$0
91194176040$0
101477915841$0
111457444069$0
121598095200$0
131417937863$0
141184625063$0
151467490425$0
161982600748$0
171528305109$0
181407388705$0
191386112639$0
201003174368$0

Showing top 20 of 71 providers billing this code