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#6301 of 11K

G8980

HCPCS Procedure Code

HCPCS code G8980 is the #6,301 most-billed Medicaid procedure code, with $76K in payments across 45K claims from 2018–2024. The national median cost per claim is $0.84. Costs vary widely — the 90th percentile is $45.01 per claim, 53.6× the median.

Total Paid

$76K

0.00% of all spending

Total Claims

45K

Providers

403

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for G8980? Based on 117 providers billing this code nationally.

Median

$0.84

Average

$11.76

Std Dev

$21.25

Max

$105.41

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.84
p75
$12.32
p90
$45.01
p95
$54.85
p99
$89.55

50% of providers bill between $0.01 and $12.32 per claim for this code.

90% bill between $0.00 and $45.01.

Top 1% bill above $89.55.

About This Procedure

HCPCS code G8980 was billed by 403 providers across 45K claims, totaling $76K in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.84

Providers Billing

117

National Spending

$76K

Avg/Median Ratio

14.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8980

#ProviderTotal Paid
11295718450$6K
21942204607$6K
31366433385$4K
41225033020$4K
51821186313$4K
6The Miriam Hospital

Providence, RI · General Acute Care Hospital

$3K
71649293622$3K
8Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$3K
91821093451$2K
101376547091$2K
111366446080$2K
121528042884$2K
13State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$2K
14West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$2K
151235196510$2K
161053308775$2K
171558365270$2K
18The Cooper Health System

Camden, NJ · General Acute Care Hospital

$2K
191396732012$2K
201578000709$2K

Showing top 20 of 403 providers billing this code