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#6363 of 11K

G9820

HCPCS Procedure Code

HCPCS code G9820 is the #6,363 most-billed Medicaid procedure code, with $71K in payments across 161K claims from 2018–2024. The national median cost per claim is $0.06. Costs vary widely — the 90th percentile is $1.52 per claim, 25.3× the median.

Total Paid

$71K

0.00% of all spending

Total Claims

161K

Providers

198

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9820? Based on 87 providers billing this code nationally.

Median

$0.06

Average

$0.62

Std Dev

$1.71

Max

$12.83

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.06
p75
$0.41
p90
$1.52
p95
$1.92
p99
$8.13

50% of providers bill between $0.01 and $0.41 per claim for this code.

90% bill between $0.00 and $1.52.

Top 1% bill above $8.13.

About This Procedure

HCPCS code G9820 was billed by 198 providers across 161K claims, totaling $71K in Medicaid payments from 2018–2024. This code was used for 158K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.06

Providers Billing

87

National Spending

$71K

Avg/Median Ratio

10.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9820

#ProviderTotal Paid
11295902468$46K
21740425545$4K
31700123908$4K
41467420224$3K
51326124256$2K
61407015142$1K
71043304959$897
81477673077$837
91891879847$789
101629207907$736
111851468433$594
121104975796$575
131386671949$533
141992854855$474
151063593531$440
161437131323$415
171083931919$381
181629284237$360
191568512408$334
201952596280$332

Showing top 20 of 198 providers billing this code