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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134117393 | $53K |
| 2 | 1922598929 | $19K |
| 3 | 1518303288 | $8K |
| 4 | 1083752364 | $6K |
| 5 | 1659456234 | $6K |
| 6 | 1356346100 | $3K |
| 7 | 1841343779 | $3K |
| 8 | 1902188022 | $2K |
| 9 | 1093796609 | $1K |
| 10 | 1891072286 | $755 |
| 11 | 1154677300 | $635 |
| 12 | 1275994303 | $458 |
| 13 | 1922435429 | $385 |
| 14 | 1609195320 | $379 |
| 15 | 1548728553 | $331 |
| 16 | 1740286418 | $319 |
| 17 | 1740529700 | $316 |
| 18 | 1578598868 | $302 |
| 19 | 1649836941 | $289 |
| 20 | 1568628766 | $199 |
Showing top 20 of 824 providers billing this code