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#7650 of 11K

G8421

HCPCS Procedure Code

HCPCS code G8421 is the #7,650 most-billed Medicaid procedure code, with $13K in payments across 148K claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $19.35 per claim, 645.0× the median.

Total Paid

$13K

0.00% of all spending

Total Claims

148K

Providers

311

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8421? Based on 14 providers billing this code nationally.

Median

$0.03

Average

$6.04

Std Dev

$13.82

Max

$48.16

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.03
p75
$3.11
p90
$19.35
p95
$32.99
p99
$45.12

50% of providers bill between $0.00 and $3.11 per claim for this code.

90% bill between $0.00 and $19.35.

Top 1% bill above $45.12.

About This Procedure

HCPCS code G8421 was billed by 311 providers across 148K claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 95K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.03

Providers Billing

14

National Spending

$13K

Avg/Median Ratio

201.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8421

#ProviderTotal Paid
11568581502$11K
21912965732$915
31447649025$207
41437143880$129
51417460619$98
61790810745$51
71083196562$49
81649697657$5
91386656270$1
101144742396$1
11St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$1
121407994510$0
131750334405$0
141861879140$0
151558494765$0
161194253872$0
171003280546$0
181821267469$0
191992735377$0
201750343216$0

Showing top 20 of 311 providers billing this code