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#8255 of 11K

G8942

HCPCS Procedure Code

HCPCS code G8942 is the #8,255 most-billed Medicaid procedure code, with $4K in payments across 59K claims from 2018–2024. The national median cost per claim is $0.08. Costs vary widely — the 90th percentile is $1.37 per claim, 17.1× the median.

Total Paid

$4K

0.00% of all spending

Total Claims

59K

Providers

101

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8942? Based on 10 providers billing this code nationally.

Median

$0.08

Average

$0.97

Std Dev

$2.68

Max

$8.58

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.08
p75
$0.18
p90
$1.37
p95
$4.98
p99
$7.86

50% of providers bill between $0.01 and $0.18 per claim for this code.

90% bill between $0.00 and $1.37.

Top 1% bill above $7.86.

About This Procedure

HCPCS code G8942 was billed by 101 providers across 59K claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.08

Providers Billing

10

National Spending

$4K

Avg/Median Ratio

12.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8942

#ProviderTotal Paid
11790971109$3K
21386744837$1K
31124647375$90
41447400817$51
51255336699$50
61346436805$39
71295849164$12
81811984099$1
91376881144$0
101790937902$0
111841297306$0
121417175985$0
131770650566$0
141770605115$0
151679876924$0
161992910319$0
171588855068$0
181609877034$0
191417287905$0
201871545780$0

Showing top 20 of 101 providers billing this code