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#3141 of 11K

G8420

HCPCS Procedure Code

HCPCS code G8420 is the #3,141 most-billed Medicaid procedure code, with $2.4M in payments across 4.4M claims from 2018–2024. The national median cost per claim is $0.06. Costs vary widely — the 90th percentile is $15.02 per claim, 250.3× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

4.4M

Providers

4,256

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for G8420? Based on 541 providers billing this code nationally.

Median

$0.06

Average

$3.92

Std Dev

$11.27

Max

$107.25

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.06
p75
$0.75
p90
$15.02
p95
$26.86
p99
$51.29

50% of providers bill between $0.00 and $0.75 per claim for this code.

90% bill between $0.00 and $15.02.

Top 1% bill above $51.29.

About This Procedure

HCPCS code G8420 was billed by 4,256 providers across 4.4M claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 3.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.06

Providers Billing

541

National Spending

$2.4M

Avg/Median Ratio

65.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8420

#ProviderTotal Paid
11578598868$169K
21093796609$166K
31386631810$157K
41902332133$137K
51619504735$112K
61780671099$110K
71801891080$108K
81710106414$84K
91588654289$82K
101740286418$82K
111902896970$74K
121376537456$74K
131275523243$72K
141013913789$68K
151689655219$57K
161891072286$55K
171609195320$52K
181336185164$50K
191396732368$42K
201356346100$39K

Showing top 20 of 4,256 providers billing this code