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#6552 of 11K

G8731

HCPCS Procedure Code

HCPCS code G8731 is the #6,552 most-billed Medicaid procedure code, with $56K in payments across 229K claims from 2018–2024. The national median cost per claim is $0.02. Costs vary widely — the 90th percentile is $7.10 per claim, 355.0× the median.

Total Paid

$56K

0.00% of all spending

Total Claims

229K

Providers

573

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8731? Based on 51 providers billing this code nationally.

Median

$0.02

Average

$1.80

Std Dev

$3.64

Max

$16.65

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.02
p75
$1.50
p90
$7.10
p95
$9.27
p99
$14.47

50% of providers bill between $0.00 and $1.50 per claim for this code.

90% bill between $0.00 and $7.10.

Top 1% bill above $14.47.

About This Procedure

HCPCS code G8731 was billed by 573 providers across 229K claims, totaling $56K in Medicaid payments from 2018–2024. This code was used for 192K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.02

Providers Billing

51

National Spending

$56K

Avg/Median Ratio

90.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8731

#ProviderTotal Paid
11518303288$16K
21306258645$8K
31366449365$7K
41538441761$6K
51467439463$4K
61376894931$3K
71225323496$3K
81245500040$2K
91033404207$2K
101306131578$2K
111396828331$625
121700123908$568
131013297118$497
141720282585$411
151528150562$356
161588023667$250
171104277656$161
181275519365$81
191821270406$65
201629207907$63

Showing top 20 of 573 providers billing this code