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#8384 of 11K

G9905

HCPCS Procedure Code

HCPCS code G9905 is the #8,384 most-billed Medicaid procedure code, with $3K in payments across 113K claims from 2018–2024. The national median cost per claim is $0.50. Costs vary widely — the 90th percentile is $15.15 per claim, 30.3× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

113K

Providers

223

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9905? Based on 11 providers billing this code nationally.

Median

$0.50

Average

$4.55

Std Dev

$9.74

Max

$30.70

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.50
p75
$1.38
p90
$15.15
p95
$22.92
p99
$29.15

50% of providers bill between $0.00 and $1.38 per claim for this code.

90% bill between $0.00 and $15.15.

Top 1% bill above $29.15.

About This Procedure

HCPCS code G9905 was billed by 223 providers across 113K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 100K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.50

Providers Billing

11

National Spending

$3K

Avg/Median Ratio

9.10×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9905

#ProviderTotal Paid
11154400679$2K
21225122963$430
3Premier Eye Care Of Florida Llc

Coral Gables, FL · Exclusive Provider Organization

$304
41437143880$91
51013083401$48
61356430987$33
71417183963$1
81790893451$0
91245248939$0
101942385562$0
111285681304$0
121326359746$0
131295839413$0
141023011228$0
151245470608$0
161255434494$0
171003865833$0
181629133111$0
191134507965$0
201467571976$0

Showing top 20 of 223 providers billing this code