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#6252 of 11K

G9716

HCPCS Procedure Code

HCPCS code G9716 is the #6,252 most-billed Medicaid procedure code, with $80K in payments across 178K claims from 2018–2024. The national median cost per claim is $0.42. Costs vary widely — the 90th percentile is $2.24 per claim, 5.3× the median.

Total Paid

$80K

0.00% of all spending

Total Claims

178K

Providers

119

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9716? Based on 49 providers billing this code nationally.

Median

$0.42

Average

$1.38

Std Dev

$3.24

Max

$16.32

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.05
Median
$0.42
p75
$1.10
p90
$2.24
p95
$6.61
p99
$15.54

50% of providers bill between $0.05 and $1.10 per claim for this code.

90% bill between $0.00 and $2.24.

Top 1% bill above $15.54.

About This Procedure

HCPCS code G9716 was billed by 119 providers across 178K claims, totaling $80K in Medicaid payments from 2018–2024. This code was used for 170K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.42

Providers Billing

49

National Spending

$80K

Avg/Median Ratio

3.29×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9716

#ProviderTotal Paid
11114097524$21K
21952526626$12K
31700297405$8K
41245546084$7K
51639258353$7K
61467439463$6K
71184896854$4K
81760879670$4K
91568774917$3K
101336104017$1K
111285106005$1K
121922025998$750
131235235409$660
141952617797$497
151164617130$433
161073898920$375
171215194840$368
181417285875$356
191508861196$255
201841336716$180

Showing top 20 of 119 providers billing this code