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#6406 of 11K

G9902

HCPCS Procedure Code

HCPCS code G9902 is the #6,406 most-billed Medicaid procedure code, with $68K in payments across 859K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $0.87 per claim, 87.0× the median.

Total Paid

$68K

0.00% of all spending

Total Claims

859K

Providers

831

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9902? Based on 78 providers billing this code nationally.

Median

$0.01

Average

$2.07

Std Dev

$7.83

Max

$38.09

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.15
p90
$0.87
p95
$13.18
p99
$37.81

50% of providers bill between $0.00 and $0.15 per claim for this code.

90% bill between $0.00 and $0.87.

Top 1% bill above $37.81.

About This Procedure

HCPCS code G9902 was billed by 831 providers across 859K claims, totaling $68K in Medicaid payments from 2018–2024. This code was used for 652K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

78

National Spending

$68K

Avg/Median Ratio

207.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9902

#ProviderTotal Paid
11295822658$39K
21316133457$13K
31841343779$6K
41649662719$2K
51508278359$1K
61225122963$1K
71659336766$1K
81003017492$1000
91013097120$855
101194718346$784
11Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$520
121821398538$401
131487050134$336
14St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$174
151134504376$140
161700064292$138
171285662684$120
181265515001$112
191699881144$106
201023119641$98

Showing top 20 of 831 providers billing this code