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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1609125749 | $385 |
| 2 | 1700123908 | $11 |
| 3 | 1548471469 | $0 |
| 4 | 1588702690 | $0 |
| 5 | 1033766027 | $0 |
| 6 | 1578571451 | $0 |
| 7 | 1609805530 | $0 |
| 8 | 1801907894 | $0 |
| 9 | 1568429363 | $0 |
| 10 | 1710168265 | $0 |
| 11 | 1477908085 | $0 |
| 12 | 1053566463 | $0 |
| 13 | 1588676134 | $0 |
| 14 | 1609806793 | $0 |
| 15 | 1518397587 | $0 |
| 16 | 1437111028 | $0 |
| 17 | 1104840594 | $0 |
| 18 | 1437143757 | $0 |
| 19 | 1952832032 | $0 |
| 20 | 1164906871 | $0 |
Showing top 20 of 82 providers billing this code