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#7879 of 11K

G8404

HCPCS Procedure Code

HCPCS code G8404 is the #7,879 most-billed Medicaid procedure code, with $9K in payments across 142K claims from 2018–2024. The national median cost per claim is $0.13. Costs vary widely — the 90th percentile is $1.29 per claim, 9.9× the median.

Total Paid

$9K

0.00% of all spending

Total Claims

142K

Providers

242

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8404? Based on 19 providers billing this code nationally.

Median

$0.13

Average

$0.70

Std Dev

$1.43

Max

$6.25

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.13
p75
$0.83
p90
$1.29
p95
$2.00
p99
$5.40

50% of providers bill between $0.00 and $0.83 per claim for this code.

90% bill between $0.00 and $1.29.

Top 1% bill above $5.40.

About This Procedure

HCPCS code G8404 was billed by 242 providers across 142K claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 125K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.13

Providers Billing

19

National Spending

$9K

Avg/Median Ratio

5.38×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8404

#ProviderTotal Paid
11942315585$3K
21902826738$2K
31437207933$2K
41043256415$605
51437505393$495
61134261464$480
71083196562$241
81275519365$147
91730149246$114
101962532218$93
111629207907$18
121235526682$9
131649212572$5
141295896744$2
151659502920$1
161306894704$0
171871986752$0
181134202278$0
191649387424$0
201396979787$0

Showing top 20 of 242 providers billing this code