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#9099 of 11K

G8542

HCPCS Procedure Code

HCPCS code G8542 is the #9,099 most-billed Medicaid procedure code, with $396 in payments across 30K claims from 2018–2024. The national median cost per claim is $0.18. Costs vary widely — the 90th percentile is $0.82 per claim, 4.6× the median.

Total Paid

$396

0.00% of all spending

Total Claims

30K

Providers

82

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8542? Based on 3 providers billing this code nationally.

Median

$0.18

Average

$0.39

Std Dev

$0.52

Max

$0.98

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.09
Median
$0.18
p75
$0.58
p90
$0.82
p95
$0.90
p99
$0.96

50% of providers bill between $0.09 and $0.58 per claim for this code.

90% bill between $0.04 and $0.82.

Top 1% bill above $0.96.

About This Procedure

HCPCS code G8542 was billed by 82 providers across 30K claims, totaling $396 in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.18

Providers Billing

3

National Spending

$396

Avg/Median Ratio

2.17×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8542

#ProviderTotal Paid
11609125749$385
21700123908$11
31548471469$0
41588702690$0
51033766027$0
61578571451$0
71609805530$0
81801907894$0
91568429363$0
101710168265$0
111477908085$0
121053566463$0
131588676134$0
141609806793$0
151518397587$0
161437111028$0
171104840594$0
181437143757$0
191952832032$0
201164906871$0

Showing top 20 of 82 providers billing this code