#1112 of 11K

G9920

HCPCS Procedure Code

HCPCS code G9920 is the #1,112 most-billed Medicaid procedure code, with $40.0M in payments across 4.9M claims from 2018–2024. The national median cost per claim is $6.56. Costs vary widely — the 90th percentile is $29.00 per claim, 4.4× the median.

Total Paid

$40.0M

0.00% of all spending

Total Claims

4.9M

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G9920? Based on 1K providers billing this code nationally.

Median

$6.56

Average

$11.78

Std Dev

$12.20

Max

$100.16

Percentile Distribution (Cost per Claim)

p10

$0.16

p25

$1.42

Median

$6.56

p75

$21.03

p90

$29.00

p95

$34.55

p99

$42.79

50% of providers bill between $1.42 and $21.03 per claim for this code.

90% bill between $0.16 and $29.00.

Top 1% bill above $42.79.

About This Procedure

HCPCS code G9920 was billed by 2K providers across 4.9M claims, totaling $40.0M in Medicaid payments from 2018–2024. This code was used for 4.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.56

Providers Billing

National Spending

$40.0M

Avg/Median Ratio

1.80×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G9920

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1811091952	$1.1M	$25.78	3.9× median	Above 75th
2	1295822658	$1.0M	$12.96	2.0× median	Above Median
3	1568495364	$992K	$22.95	3.5× median	Above 75th
4	1760043723	$759K	$28.98	4.4× median	Above 75th
5	1780950543	$635K	$34.39	5.2× median	Top 10%
6	Altamed Health Services Corp. Los Angeles, CA · Clinic/Center Federally Qualified Health Center (FQHC)	$553K	$8.69	1.3× median	Above Median
7	North County Health Project, Inc. San Marcos, CA · Clinic/Center, Federally Qualified Health Center (FQHC)	$533K	$12.17	1.9× median	Above Median
8	1326278490	$477K	$9.16	1.4× median	Above Median
9	1427121375	$468K	$21.08	3.2× median	Above 75th
10	1568465466	$454K	$43.05	6.6× median	Top 1%
11	Centro De Salud De La Comunidad De San Ysidro, Inc. San Ysidro, CA · Clinic/Center, Federally Qualified Health Center (FQHC)	$436K	$15.73	2.4× median	Above Median
12	1003902610	$413K	$22.77	3.5× median	Above 75th
13	1598139883	$411K	$28.25	4.3× median	Above 75th
14	1457303356	$411K	$41.33	6.3× median	Top 10%
15	1417910886	$405K	$33.61	5.1× median	Top 10%
16	1720432438	$394K	$29.99	4.6× median	Top 10%
17	1932194230	$385K	$28.88	4.4× median	Above 75th
18	1821292012	$381K	$35.10	5.3× median	Top 10%
19	1114007754	$345K	$17.44	2.7× median	Above Median
20	1740311737	$343K	$31.79	4.8× median	Top 10%

Showing top 20 of 2K providers billing this code

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G9919$1.0M G9916$276K G9922$73K G9923$46K G9921$10K

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