G8431
HCPCS Procedure Code
HCPCS code G8431 is the #2,560 most-billed Medicaid procedure code, with $5.0M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $2.37. Costs vary widely — the 90th percentile is $29.01 per claim, 12.2× the median.
Total Paid
$5.0M
0.00% of all spending
Total Claims
1.6M
Providers
2,717
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for G8431? Based on 946 providers billing this code nationally.
Median
$2.37
Average
$9.53
Std Dev
$12.28
Max
$70.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.11 and $16.13 per claim for this code.
90% bill between $0.00 and $29.01.
Top 1% bill above $44.25.
About This Procedure
HCPCS code G8431 was billed by 2,717 providers across 1.6M claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.37
Providers Billing
946
National Spending
$5.0M
Avg/Median Ratio
4.02×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G8431
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225685332 | $393K |
| 2 | 1588089718 | $279K |
| 3 | Union Community Health Center Inc. Bronx, NY · Clinic/Center | $165K |
| 4 | 1588153126 | $162K |
| 5 | 1417188871 | $156K |
| 6 | 1932505146 | $109K |
| 7 | 1295165645 | $94K |
| 8 | 1912293374 | $85K |
| 9 | 1508977414 | $79K |
| 10 | 1912091018 | $78K |
| 11 | 1649438433 | $71K |
| 12 | 1205451606 | $68K |
| 13 | 1891711289 | $67K |
| 14 | 1598143778 | $65K |
| 15 | 1427121375 | $65K |
| 16 | 1164662052 | $61K |
| 17 | 1154503399 | $60K |
| 18 | 1447448733 | $54K |
| 19 | 1336680495 | $48K |
| 20 | 1508379017 | $46K |
Showing top 20 of 2,717 providers billing this code