G9916
HCPCS Procedure Code
HCPCS code G9916 is the #5,147 most-billed Medicaid procedure code, with $276K in payments across 300K claims from 2018–2024. The national median cost per claim is $0.42. Costs vary widely — the 90th percentile is $1.19 per claim, 2.8× the median.
Total Paid
$276K
0.00% of all spending
Total Claims
300K
Providers
103
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for G9916? Based on 6 providers billing this code nationally.
Median
$0.42
Average
$0.54
Std Dev
$0.55
Max
$1.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.07 and $0.99 per claim for this code.
90% bill between $0.02 and $1.19.
Top 1% bill above $1.26.
About This Procedure
HCPCS code G9916 was billed by 103 providers across 300K claims, totaling $276K in Medicaid payments from 2018–2024. This code was used for 207K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.42
Providers Billing
6
National Spending
$276K
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G9916
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588689483 | $271K |
| 2 | 1376894931 | $4K |
| 3 | 1457457814 | $260 |
| 4 | 1194718346 | $248 |
| 5 | 1245630557 | $80 |
| 6 | 1659452027 | $16 |
| 7 | 1942799747 | $0 |
| 8 | 1144973850 | $0 |
| 9 | 1932202074 | $0 |
| 10 | 1598141319 | $0 |
| 11 | 1548538739 | $0 |
| 12 | 1790734689 | $0 |
| 13 | 1376575886 | $0 |
| 14 | 1265758080 | $0 |
| 15 | 1689618407 | $0 |
| 16 | 1891867859 | $0 |
| 17 | 1578757803 | $0 |
| 18 | 1518408996 | $0 |
| 19 | 1497983662 | $0 |
| 20 | 1568419240 | $0 |
Showing top 20 of 103 providers billing this code