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#5254 of 11K

G8754

HCPCS Procedure Code

HCPCS code G8754 is the #5,254 most-billed Medicaid procedure code, with $249K in payments across 5.1M claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $2.76 per claim, 276.0× the median.

Total Paid

$249K

0.00% of all spending

Total Claims

5.1M

Providers

3,552

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8754? Based on 387 providers billing this code nationally.

Median

$0.01

Average

$1.56

Std Dev

$5.40

Max

$53.01

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.26
p90
$2.76
p95
$9.51
p99
$26.19

50% of providers bill between $0.00 and $0.26 per claim for this code.

90% bill between $0.00 and $2.76.

Top 1% bill above $26.19.

About This Procedure

HCPCS code G8754 was billed by 3,552 providers across 5.1M claims, totaling $249K in Medicaid payments from 2018–2024. This code was used for 4.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

387

National Spending

$249K

Avg/Median Ratio

156.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8754

#ProviderTotal Paid
11518303288$24K
21376790428$21K
31750482493$18K
41114374360$15K
51891241030$13K
61225099658$12K
71912030073$11K
81821370644$11K
91053633768$10K
10Chinatown True Care Medical Pllc

New York, NY · Family Medicine

$7K
111245618677$6K
121447426895$6K
131467439463$5K
141265530752$5K
151639277072$5K
161437426780$4K
171457332652$4K
181356643035$4K
191386898443$4K
201922109545$4K

Showing top 20 of 3,552 providers billing this code