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#7340 of 11K

G9974

HCPCS Procedure Code

HCPCS code G9974 is the #7,340 most-billed Medicaid procedure code, with $21K in payments across 57K claims from 2018–2024. The national median cost per claim is $0.05. Costs vary widely — the 90th percentile is $21.51 per claim, 430.2× the median.

Total Paid

$21K

0.00% of all spending

Total Claims

57K

Providers

92

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9974? Based on 14 providers billing this code nationally.

Median

$0.05

Average

$7.99

Std Dev

$19.93

Max

$72.51

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.05
p75
$1.38
p90
$21.51
p95
$42.23
p99
$66.46

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

90% bill between $0.00 and $21.51.

Top 1% bill above $66.46.

About This Procedure

HCPCS code G9974 was billed by 92 providers across 57K claims, totaling $21K in Medicaid payments from 2018–2024. This code was used for 46K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.05

Providers Billing

14

National Spending

$21K

Avg/Median Ratio

159.80×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9974

#ProviderTotal Paid
11114105384$9K
21982946612$7K
31902004427$4K
41437175684$404
51528569233$311
61033288832$31
71972704450$4
81033350756$0
91629235510$0
101326248808$0
111548522840$0
121649362989$0
131619118825$0
141881690634$0
151528114311$0
161831140300$0
171861779266$0
181528066644$0
191902836166$0
201689604316$0

Showing top 20 of 92 providers billing this code