G8938
HCPCS Procedure Code
HCPCS code G8938 is the #7,535 most-billed Medicaid procedure code, with $15K in payments across 69K claims from 2018–2024. The national median cost per claim is $0.25. Costs vary widely — the 90th percentile is $30.14 per claim, 120.6× the median.
Total Paid
$15K
0.00% of all spending
Total Claims
69K
Providers
144
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for G8938? Based on 8 providers billing this code nationally.
Median
$0.25
Average
$8.06
Std Dev
$14.72
Max
$35.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $7.41 per claim for this code.
90% bill between $0.00 and $30.14.
Top 1% bill above $34.96.
About This Procedure
HCPCS code G8938 was billed by 144 providers across 69K claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 50K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.25
Providers Billing
8
National Spending
$15K
Avg/Median Ratio
32.24×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G8938
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1528000221 | $11K |
| 2 | 1225099658 | $3K |
| 3 | 1659353068 | $473 |
| 4 | 1003834433 | $227 |
| 5 | 1619973518 | $155 |
| 6 | 1811984099 | $0 |
| 7 | 1154608263 | $0 |
| 8 | 1679608061 | $0 |
| 9 | 1649265109 | $0 |
| 10 | 1366596405 | $0 |
| 11 | 1114334125 | $0 |
| 12 | 1366920746 | $0 |
| 13 | 1902169329 | $0 |
| 14 | 1760420335 | $0 |
| 15 | 1508890625 | $0 |
| 16 | 1427247501 | $0 |
| 17 | 1104144914 | $0 |
| 18 | 1225237613 | $0 |
| 19 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $0 |
| 20 | 1205213014 | $0 |
Showing top 20 of 144 providers billing this code