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#8482 of 11K

G8430

HCPCS Procedure Code

HCPCS code G8430 is the #8,482 most-billed Medicaid procedure code, with $3K in payments across 82K claims from 2018–2024. The national median cost per claim is $0.28. Costs vary widely — the 90th percentile is $8.54 per claim, 30.5× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

82K

Providers

222

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8430? Based on 15 providers billing this code nationally.

Median

$0.28

Average

$4.00

Std Dev

$10.81

Max

$41.13

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.06
Median
$0.28
p75
$1.05
p90
$8.54
p95
$21.72
p99
$37.25

50% of providers bill between $0.06 and $1.05 per claim for this code.

90% bill between $0.01 and $8.54.

Top 1% bill above $37.25.

About This Procedure

HCPCS code G8430 was billed by 222 providers across 82K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.28

Providers Billing

15

National Spending

$3K

Avg/Median Ratio

14.29×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8430

#ProviderTotal Paid
11255382545$1K
21508278359$342
31275768327$329
41588689483$287
51073608253$228
61487929519$129
71063928638$84
81134117393$68
91245244367$59
101487050134$42
111174635700$30
121619056082$24
131730258682$23
141881903284$1
151588942395$0
161740310689$0
171003104571$0
181043389539$0
191003049032$0
201073052403$0

Showing top 20 of 222 providers billing this code