#3921 of 11K

G9919

HCPCS Procedure Code

HCPCS code G9919 is the #3,921 most-billed Medicaid procedure code, with $1.0M in payments across 469K claims from 2018–2024. The national median cost per claim is $8.66. Costs vary widely — the 90th percentile is $29.54 per claim, 3.4× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

469K

Providers

762

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G9919? Based on 366 providers billing this code nationally.

Median

$8.66

Average

$12.64

Std Dev

$12.23

Max

$46.77

Percentile Distribution (Cost per Claim)

p10

$0.21

p25

$1.30

Median

$8.66

p75

$24.41

p90

$29.54

p95

$33.08

p99

$40.50

50% of providers bill between $1.30 and $24.41 per claim for this code.

90% bill between $0.21 and $29.54.

Top 1% bill above $40.50.

About This Procedure

HCPCS code G9919 was billed by 762 providers across 469K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 414K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.66

Providers Billing

366

National Spending

$1.0M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G9919

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1760043723	$73K	$29.00	3.3× median	Above 75th
2	1568465466	$59K	$42.69	4.9× median	Top 1%
3	1568551893	$52K	$20.60	2.4× median	Above Median
4	1205967916	$38K	$11.27	1.3× median	Above Median
5	1194974972	$34K	$2.14	0.2× median	Below Median
6	1568495364	$33K	$23.49	2.7× median	Above Median
7	1427000926	$33K	$21.06	2.4× median	Above Median
8	1588689483	$30K	$0.29	0.0× median	Below Median
9	1811362908	$22K	$17.83	2.1× median	Above Median
10	1528042090	$21K	$7.25	0.8× median	Below Median
11	1265499628	$19K	$27.40	3.2× median	Above 75th
12	1356498935	$19K	$14.60	1.7× median	Above Median
13	North County Health Project, Inc. San Marcos, CA · Clinic/Center, Federally Qualified Health Center (FQHC)	$19K	$10.67	1.2× median	Above Median
14	1508278359	$18K	$27.20	3.1× median	Above 75th
15	1427121375	$18K	$27.89	3.2× median	Above 75th
16	1497847487	$16K	$27.32	3.2× median	Above 75th
17	1295822658	$15K	$13.69	1.6× median	Above Median
18	1780169524	$13K	$27.78	3.2× median	Above 75th
19	1932849858	$13K	$34.93	4.0× median	Top 10%
20	1326278490	$13K	$8.47	1.0× median	Below Median

Showing top 20 of 762 providers billing this code

Related Procedures

G9920$40.0M G9916$276K G9922$73K G9923$46K G9921$10K

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