G8978
HCPCS Procedure Code
HCPCS code G8978 is the #3,094 most-billed Medicaid procedure code, with $2.5M in payments across 343K claims from 2018–2024. The national median cost per claim is $5.17. Costs vary widely — the 90th percentile is $95.21 per claim, 18.4× the median.
Total Paid
$2.5M
0.00% of all spending
Total Claims
343K
Providers
1,598
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for G8978? Based on 583 providers billing this code nationally.
Median
$5.17
Average
$29.89
Std Dev
$51.82
Max
$401.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.27 and $37.50 per claim for this code.
90% bill between $0.00 and $95.21.
Top 1% bill above $220.65.
About This Procedure
HCPCS code G8978 was billed by 1,598 providers across 343K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 267K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.17
Providers Billing
583
National Spending
$2.5M
Avg/Median Ratio
5.78×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G8978
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $320K |
| 2 | 1942204607 | $90K |
| 3 | 1376547091 | $56K |
| 4 | 1558365270 | $50K |
| 5 | 1366433385 | $49K |
| 6 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $46K |
| 7 | 1750385308 | $45K |
| 8 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $37K |
| 9 | 1366446080 | $36K |
| 10 | 1063781839 | $35K |
| 11 | 1275556128 | $34K |
| 12 | Fi-broward Nursing Llc Pompano Beach, FL · Skilled Nursing Facility | $34K |
| 13 | 1215930995 | $34K |
| 14 | 1497829774 | $32K |
| 15 | 1063773075 | $31K |
| 16 | 1083608293 | $30K |
| 17 | 1942204771 | $28K |
| 18 | 1649293622 | $27K |
| 19 | 1255335857 | $26K |
| 20 | 1548264096 | $25K |
Showing top 20 of 1,598 providers billing this code