Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3202 of 11K

G8417

HCPCS Procedure Code

HCPCS code G8417 is the #3,202 most-billed Medicaid procedure code, with $2.2M in payments across 8.3M claims from 2018–2024. The national median cost per claim is $0.06. Costs vary widely — the 90th percentile is $9.69 per claim, 161.5× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

8.3M

Providers

5,529

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8417? Based on 704 providers billing this code nationally.

Median

$0.06

Average

$3.60

Std Dev

$10.90

Max

$141.30

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.06
p75
$1.45
p90
$9.69
p95
$22.11
p99
$40.91

50% of providers bill between $0.00 and $1.45 per claim for this code.

90% bill between $0.00 and $9.69.

Top 1% bill above $40.91.

About This Procedure

HCPCS code G8417 was billed by 5,529 providers across 8.3M claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 6.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.06

Providers Billing

704

National Spending

$2.2M

Avg/Median Ratio

60.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8417

#ProviderTotal Paid
11780671099$187K
21578598868$181K
31801891080$104K
41093796609$96K
51386631810$96K
61013913789$90K
71902332133$86K
81275523243$68K
91740286418$66K
101770518003$65K
111013097120$62K
121376537456$56K
131336185164$48K
141588654289$45K
151891072286$37K
161396732368$33K
171720358252$33K
181689655219$32K
191205221942$31K
201902896970$29K

Showing top 20 of 5,529 providers billing this code