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#8964 of 11K

G8916

HCPCS Procedure Code

HCPCS code G8916 is the #8,964 most-billed Medicaid procedure code, with $660 in payments across 17K claims from 2018–2024. The national median cost per claim is $3.59. Costs vary widely — the 90th percentile is $11.66 per claim, 3.2× the median.

Total Paid

$660

0.00% of all spending

Total Claims

17K

Providers

65

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8916? Based on 5 providers billing this code nationally.

Median

$3.59

Average

$4.91

Std Dev

$6.76

Max

$16.45

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.04
Median
$3.59
p75
$4.48
p90
$11.66
p95
$14.06
p99
$15.97

50% of providers bill between $0.04 and $4.48 per claim for this code.

90% bill between $0.02 and $11.66.

Top 1% bill above $15.97.

About This Procedure

HCPCS code G8916 was billed by 65 providers across 17K claims, totaling $660 in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.59

Providers Billing

5

National Spending

$660

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G8916

#ProviderTotal Paid
11376607309$336
21992759930$214
31154318103$63
41740289024$47
51386796332$0
61811437882$0
71447472659$0
81063649978$0
91932390234$0
101952347981$0
11Kaiser Foundation Health Plan Of The Northwest

Portland, OR · General Practice

$0
121881631497$0
131295793974$0
141407883556$0
151285746263$0
161265931653$0
171326048091$0
181275619215$0
191124022595$0
201962459610$0

Showing top 20 of 65 providers billing this code