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#5898 of 11K

G8419

HCPCS Procedure Code

HCPCS code G8419 is the #5,898 most-billed Medicaid procedure code, with $122K in payments across 1.4M claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $5.64 per claim, 188.0× the median.

Total Paid

$122K

0.00% of all spending

Total Claims

1.4M

Providers

1,297

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8419? Based on 90 providers billing this code nationally.

Median

$0.03

Average

$3.46

Std Dev

$12.06

Max

$96.25

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.03
p75
$1.38
p90
$5.64
p95
$20.42
p99
$47.80

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

90% bill between $0.00 and $5.64.

Top 1% bill above $47.80.

About This Procedure

HCPCS code G8419 was billed by 1,297 providers across 1.4M claims, totaling $122K in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.03

Providers Billing

90

National Spending

$122K

Avg/Median Ratio

115.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8419

#ProviderTotal Paid
11013097120$37K
21154396711$23K
31386898443$12K
41164609111$9K
51114342243$8K
61588663769$5K
71619514049$4K
81912965732$4K
91396736120$4K
101154517118$4K
111215194840$3K
121861445272$2K
131447649025$1K
141619504735$1K
151134284581$1K
161295992725$834
171841607801$621
181255477360$525
191831353390$454
201457396152$229

Showing top 20 of 1,297 providers billing this code