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#3632 of 11K

G9678

HCPCS Procedure Code

HCPCS code G9678 is the #3,632 most-billed Medicaid procedure code, with $1.4M in payments across 50K claims from 2018–2024. The national median cost per claim is $3.47. Costs vary widely — the 90th percentile is $177.44 per claim, 51.1× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

50K

Providers

30

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for G9678? Based on 12 providers billing this code nationally.

Median

$3.47

Average

$60.10

Std Dev

$77.02

Max

$187.50

Percentile Distribution (Cost per Claim)

p10
$0.21
p25
$1.13
Median
$3.47
p75
$114.05
p90
$177.44
p95
$183.76
p99
$186.75

50% of providers bill between $1.13 and $114.05 per claim for this code.

90% bill between $0.21 and $177.44.

Top 1% bill above $186.75.

About This Procedure

HCPCS code G9678 was billed by 30 providers across 50K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.47

Providers Billing

12

National Spending

$1.4M

Avg/Median Ratio

17.32×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9678

#ProviderTotal Paid
11528018389$776K
2Banner-university Medical Group

Phoenix, AZ · Clinic/Center, Primary Care

$426K
31578587671$191K
41912978834$6K
51306913033$3K
61104901784$294
71710180120$288
8Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$232
91801850243$184
101326093675$101
111649228966$96
121871150508$32
131760592133$0
14Yale University

New Haven, CT · Internal Medicine

$0
151760452767$0
161780691865$0
171306089206$0
181811944101$0
191760965586$0
201093818551$0

Showing top 20 of 30 providers billing this code

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