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#8584 of 11K

G8540

HCPCS Procedure Code

HCPCS code G8540 is the #8,584 most-billed Medicaid procedure code, with $2K in payments across 2,557 claims from 2018–2024. The national median cost per claim is $20.24.

Total Paid

$2K

0.00% of all spending

Total Claims

2,557

Providers

21

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for G8540? Based on 2 providers billing this code nationally.

Median

$20.24

Average

$20.24

Std Dev

$28.55

Max

$40.43

Percentile Distribution (Cost per Claim)

p10
$4.09
p25
$10.15
Median
$20.24
p75
$30.34
p90
$36.39
p95
$38.41
p99
$40.03

50% of providers bill between $10.15 and $30.34 per claim for this code.

90% bill between $4.09 and $36.39.

Top 1% bill above $40.03.

About This Procedure

HCPCS code G8540 was billed by 21 providers across 2,557 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 2,092 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.24

Providers Billing

2

National Spending

$2K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G8540

#ProviderTotal Paid
11215194840$2K
21235593567$28
31881634491$0
41821178542$0
51932297637$0
61447917703$0
71730258682$0
81851604482$0
91508959743$0
101497951206$0
111740299833$0
121174997423$0
131861769671$0
141134504376$0
151871620070$0
161871707372$0
171043307986$0
181649836941$0
191962474411$0
201508837188$0

Showing top 20 of 21 providers billing this code