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#5990 of 11K

G8428

HCPCS Procedure Code

HCPCS code G8428 is the #5,990 most-billed Medicaid procedure code, with $109K in payments across 602K claims from 2018–2024. The national median cost per claim is $0.12. Costs vary widely — the 90th percentile is $3.35 per claim, 27.9× the median.

Total Paid

$109K

0.00% of all spending

Total Claims

602K

Providers

824

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8428? Based on 62 providers billing this code nationally.

Median

$0.12

Average

$2.25

Std Dev

$6.45

Max

$31.27

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.03
Median
$0.12
p75
$0.63
p90
$3.35
p95
$17.26
p99
$30.95

50% of providers bill between $0.03 and $0.63 per claim for this code.

90% bill between $0.00 and $3.35.

Top 1% bill above $30.95.

About This Procedure

HCPCS code G8428 was billed by 824 providers across 602K claims, totaling $109K in Medicaid payments from 2018–2024. This code was used for 472K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.12

Providers Billing

62

National Spending

$109K

Avg/Median Ratio

18.75×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8428

#ProviderTotal Paid
11134117393$53K
21922598929$19K
31518303288$8K
41083752364$6K
51659456234$6K
61356346100$3K
71841343779$3K
81902188022$2K
91093796609$1K
101891072286$755
111154677300$635
121275994303$458
131922435429$385
141609195320$379
151548728553$331
161740286418$319
171740529700$316
181578598868$302
191649836941$289
201568628766$199

Showing top 20 of 824 providers billing this code