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#7719 of 11K

G8476

HCPCS Procedure Code

HCPCS code G8476 is the #7,719 most-billed Medicaid procedure code, with $11K in payments across 164K claims from 2018–2024. The national median cost per claim is $0.05. Costs vary widely — the 90th percentile is $0.58 per claim, 11.6× the median.

Total Paid

$11K

0.00% of all spending

Total Claims

164K

Providers

236

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8476? Based on 20 providers billing this code nationally.

Median

$0.05

Average

$0.27

Std Dev

$0.55

Max

$2.06

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.05
p75
$0.20
p90
$0.58
p95
$1.60
p99
$1.97

50% of providers bill between $0.00 and $0.20 per claim for this code.

90% bill between $0.00 and $0.58.

Top 1% bill above $1.97.

About This Procedure

HCPCS code G8476 was billed by 236 providers across 164K claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 141K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.05

Providers Billing

20

National Spending

$11K

Avg/Median Ratio

5.40×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8476

#ProviderTotal Paid
11538441761$4K
21003868399$3K
31548449275$1K
41851736441$1K
51962976274$704
61922345768$249
71902120025$204
81316094972$196
91518303288$175
10Chinatown True Care Medical Pllc

New York, NY · Family Medicine

$87
111689846503$50
121851068233$40
131588995849$7
141770883787$2
151790027985$0
161356662878$0
171184610248$0
181447426895$0
191023652914$0
201891982526$0

Showing top 20 of 236 providers billing this code