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#2520 of 11K

G8427

HCPCS Procedure Code

HCPCS code G8427 is the #2,520 most-billed Medicaid procedure code, with $5.2M in payments across 20.6M claims from 2018–2024. The national median cost per claim is $0.02. Costs vary widely — the 90th percentile is $5.26 per claim, 263.0× the median.

Total Paid

$5.2M

0.00% of all spending

Total Claims

20.6M

Providers

12K

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8427? Based on 1,974 providers billing this code nationally.

Median

$0.02

Average

$2.37

Std Dev

$8.49

Max

$141.43

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.02
p75
$0.41
p90
$5.26
p95
$15.09
p99
$45.05

50% of providers bill between $0.00 and $0.41 per claim for this code.

90% bill between $0.00 and $5.26.

Top 1% bill above $45.05.

About This Procedure

HCPCS code G8427 was billed by 12K providers across 20.6M claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 16.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.02

Providers Billing

1,974

National Spending

$5.2M

Avg/Median Ratio

118.50×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8427

#ProviderTotal Paid
11134117393$333K
21922598929$329K
31902188022$277K
41255651378$215K
51750482493$190K
61083142376$178K
71407106339$172K
81528171840$131K
91588689483$103K
101790962371$95K
111114374360$77K
121750751988$70K
131073608253$68K
141093886798$62K
151609802644$60K
161831109008$57K
171336185164$53K
181679944383$52K
191255473179$50K
201689688335$49K

Showing top 20 of 12K providers billing this code