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#7425 of 11K

G8785

HCPCS Procedure Code

HCPCS code G8785 is the #7,425 most-billed Medicaid procedure code, with $18K in payments across 266K claims from 2018–2024. The national median cost per claim is $0.19. Costs vary widely — the 90th percentile is $8.37 per claim, 44.1× the median.

Total Paid

$18K

0.00% of all spending

Total Claims

266K

Providers

404

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8785? Based on 20 providers billing this code nationally.

Median

$0.19

Average

$2.77

Std Dev

$5.99

Max

$21.02

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.03
Median
$0.19
p75
$1.90
p90
$8.37
p95
$18.15
p99
$20.44

50% of providers bill between $0.03 and $1.90 per claim for this code.

90% bill between $0.00 and $8.37.

Top 1% bill above $20.44.

About This Procedure

HCPCS code G8785 was billed by 404 providers across 266K claims, totaling $18K in Medicaid payments from 2018–2024. This code was used for 224K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.19

Providers Billing

20

National Spending

$18K

Avg/Median Ratio

14.58×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8785

#ProviderTotal Paid
11154400679$14K
21801171517$1K
31134117393$995
41548432156$562
51841343779$315
61588109821$299
71437111028$244
8Premier Eye Care Of Florida Llc

Coral Gables, FL · Exclusive Provider Organization

$96
91699811646$93
101407843014$87
111861442022$68
121063862571$60
131720283880$36
141669721247$32
151790810745$17
161861588592$2
171356500508$1
181740517978$0
191326059387$0
201740291350$0

Showing top 20 of 404 providers billing this code

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