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#8264 of 11K

G9695

HCPCS Procedure Code

HCPCS code G9695 is the #8,264 most-billed Medicaid procedure code, with $4K in payments across 22K claims from 2018–2024. The national median cost per claim is $0.55. Costs vary widely — the 90th percentile is $5.91 per claim, 10.7× the median.

Total Paid

$4K

0.00% of all spending

Total Claims

22K

Providers

44

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9695? Based on 5 providers billing this code nationally.

Median

$0.55

Average

$2.27

Std Dev

$3.38

Max

$7.95

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.55
p75
$2.86
p90
$5.91
p95
$6.93
p99
$7.74

50% of providers bill between $0.00 and $2.86 per claim for this code.

90% bill between $0.00 and $5.91.

Top 1% bill above $7.74.

About This Procedure

HCPCS code G9695 was billed by 44 providers across 22K claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.55

Providers Billing

5

National Spending

$4K

Avg/Median Ratio

4.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9695

#ProviderTotal Paid
11467439463$3K
21407994510$1K
31265515001$700
41013140276$0
51154699072$0
61366608663$0
71679734545$0
81932112620$0
91083837223$0
101679876924$0
111902856487$0
121588826929$0
131689688335$0
141912990011$0
151114044328$0
161235769456$0
171831322973$0
181558699637$0
191033393194$0
201760688444$0

Showing top 20 of 44 providers billing this code