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#5129 of 11K

G9903

HCPCS Procedure Code

HCPCS code G9903 is the #5,129 most-billed Medicaid procedure code, with $282K in payments across 3.0M claims from 2018–2024. The national median cost per claim is $0.02. Costs vary widely — the 90th percentile is $3.27 per claim, 163.5× the median.

Total Paid

$282K

0.00% of all spending

Total Claims

3.0M

Providers

3,056

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9903? Based on 347 providers billing this code nationally.

Median

$0.02

Average

$1.98

Std Dev

$6.90

Max

$63.58

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.02
p75
$0.38
p90
$3.27
p95
$13.35
p99
$35.80

50% of providers bill between $0.00 and $0.38 per claim for this code.

90% bill between $0.00 and $3.27.

Top 1% bill above $35.80.

About This Procedure

HCPCS code G9903 was billed by 3,056 providers across 3.0M claims, totaling $282K in Medicaid payments from 2018–2024. This code was used for 2.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.02

Providers Billing

347

National Spending

$282K

Avg/Median Ratio

99.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9903

#ProviderTotal Paid
11588727473$30K
21316133457$25K
31376894931$22K
41841343779$20K
51215194840$17K
6Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$16K
71013097120$9K
81902004427$8K
91962620690$8K
101831353390$7K
111982946612$7K
121093899189$6K
131225122963$6K
141871909804$5K
151790055747$5K
161265530752$5K
171629246756$5K
181558432765$5K
191871955617$5K
201740586627$5K

Showing top 20 of 3,056 providers billing this code