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#5696 of 11K

G8952

HCPCS Procedure Code

HCPCS code G8952 is the #5,696 most-billed Medicaid procedure code, with $152K in payments across 684K claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $13.72 per claim, 457.3× the median.

Total Paid

$152K

0.00% of all spending

Total Claims

684K

Providers

428

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8952? Based on 31 providers billing this code nationally.

Median

$0.03

Average

$4.52

Std Dev

$11.77

Max

$59.84

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.03
p75
$2.72
p90
$13.72
p95
$21.02
p99
$48.72

50% of providers bill between $0.00 and $2.72 per claim for this code.

90% bill between $0.00 and $13.72.

Top 1% bill above $48.72.

About This Procedure

HCPCS code G8952 was billed by 428 providers across 684K claims, totaling $152K in Medicaid payments from 2018–2024. This code was used for 618K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.03

Providers Billing

31

National Spending

$152K

Avg/Median Ratio

150.67×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8952

#ProviderTotal Paid
11134117393$58K
21730482449$35K
31487109104$30K
41023561248$14K
51558340562$5K
61659456234$4K
71285854026$3K
81114342243$2K
91972826931$504
101437235017$192
111851808133$128
121104097666$108
131740529700$89
141528342961$45
151871707372$41
161790930618$22
171477708857$19
181376917070$17
191225000581$5
201487051207$2

Showing top 20 of 428 providers billing this code