G8397
HCPCS Procedure Code
HCPCS code G8397 is the #7,530 most-billed Medicaid procedure code, with $15K in payments across 99K claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $5.98 per claim, 199.3× the median.
Total Paid
$15K
0.00% of all spending
Total Claims
99K
Providers
181
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for G8397? Based on 14 providers billing this code nationally.
Median
$0.03
Average
$6.25
Std Dev
$20.11
Max
$75.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $1.04 per claim for this code.
90% bill between $0.00 and $5.98.
Top 1% bill above $66.93.
About This Procedure
HCPCS code G8397 was billed by 181 providers across 99K claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 86K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.03
Providers Billing
14
National Spending
$15K
Avg/Median Ratio
208.33×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G8397
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902004427 | $11K |
| 2 | 1750356754 | $3K |
| 3 | Premier Eye Care Of Florida Llc Coral Gables, FL · Exclusive Provider Organization | $394 |
| 4 | 1588109821 | $378 |
| 5 | 1114012689 | $212 |
| 6 | 1528569233 | $125 |
| 7 | 1861442022 | $74 |
| 8 | 1154315992 | $18 |
| 9 | 1255699658 | $12 |
| 10 | 1649563636 | $6 |
| 11 | 1487182580 | $5 |
| 12 | 1285644500 | $0 |
| 13 | 1053359489 | $0 |
| 14 | 1689604316 | $0 |
| 15 | 1588794200 | $0 |
| 16 | 1629023460 | $0 |
| 17 | 1952419053 | $0 |
| 18 | 1881897429 | $0 |
| 19 | 1871783308 | $0 |
| 20 | 1326248808 | $0 |
Showing top 20 of 181 providers billing this code