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#5832 of 11K

G8539

HCPCS Procedure Code

HCPCS code G8539 is the #5,832 most-billed Medicaid procedure code, with $131K in payments across 281K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $4.94 per claim, 494.0× the median.

Total Paid

$131K

0.00% of all spending

Total Claims

281K

Providers

285

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8539? Based on 28 providers billing this code nationally.

Median

$0.01

Average

$2.02

Std Dev

$5.08

Max

$23.10

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$1.28
p90
$4.94
p95
$11.20
p99
$20.76

50% of providers bill between $0.00 and $1.28 per claim for this code.

90% bill between $0.00 and $4.94.

Top 1% bill above $20.76.

About This Procedure

HCPCS code G8539 was billed by 285 providers across 281K claims, totaling $131K in Medicaid payments from 2018–2024. This code was used for 199K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

28

National Spending

$131K

Avg/Median Ratio

202.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8539

#ProviderTotal Paid
11316133457$83K
21538345046$13K
31356560460$11K
41093899189$9K
51619097359$8K
61386898443$4K
71982618617$1K
81104096015$550
91790971109$398
101881009108$228
111902242076$77
121275660219$35
131467112771$34
141811226749$19
151922072388$9
161538282116$8
171811429756$0
181548932619$0
191780835801$0
201740517978$0

Showing top 20 of 285 providers billing this code