#3485 of 11K

G8918

HCPCS Procedure Code

HCPCS code G8918 is the #3,485 most-billed Medicaid procedure code, with $1.6M in payments across 433K claims from 2018–2024. The national median cost per claim is $1.03. Costs vary widely — the 90th percentile is $104.01 per claim, 101.0× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

433K

Providers

940

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G8918? Based on 93 providers billing this code nationally.

Median

$1.03

Average

$32.59

Std Dev

$57.39

Max

$272.91

Percentile Distribution (Cost per Claim)

p10

$0.00

p25

$0.00

Median

$1.03

p75

$47.82

p90

$104.01

p95

$132.31

p99

$262.26

50% of providers bill between $0.00 and $47.82 per claim for this code.

90% bill between $0.00 and $104.01.

Top 1% bill above $262.26.

About This Procedure

HCPCS code G8918 was billed by 940 providers across 433K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 351K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.03

Providers Billing

National Spending

$1.6M

Avg/Median Ratio

31.64×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8918

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1396142733	$284K	$272.91	265.0× median	Top 1%
2	1356890172	$270K	$261.33	253.7× median	Top 10%
3	1669426706	$175K	$74.12	72.0× median	Above 75th
4	1336255827	$122K	$39.86	38.7× median	Above Median
5	1730571118	$116K	$56.84	55.2× median	Above 75th
6	1942458062	$107K	$84.14	81.7× median	Above 75th
7	1861449571	$79K	$45.12	43.8× median	Above Median
8	1376546721	$50K	$89.06	86.5× median	Above 75th
9	1538116439	$45K	$29.76	28.9× median	Above Median
10	1093757379	$42K	$206.42	200.4× median	Top 10%
11	1518280684	$38K	$53.14	51.6× median	Above 75th
12	1518208883	$29K	$61.55	59.8× median	Above 75th
13	1184664609	$29K	$46.80	45.4× median	Above Median
14	1023266145	$23K	$113.56	110.2× median	Top 10%
15	1629429410	$22K	$222.18	215.7× median	Top 10%
16	1407004534	$22K	$97.79	94.9× median	Above 75th
17	1881002343	$21K	$52.06	50.5× median	Above 75th
18	1487094058	$21K	$33.85	32.9× median	Above Median
19	1346270428	$16K	$52.69	51.2× median	Above 75th
20	1114491073	$14K	$111.84	108.6× median	Top 10%

Showing top 20 of 940 providers billing this code

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