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#4738 of 11K

G8981

HCPCS Procedure Code

HCPCS code G8981 is the #4,738 most-billed Medicaid procedure code, with $424K in payments across 27K claims from 2018–2024. The national median cost per claim is $13.79. Costs vary widely — the 90th percentile is $76.72 per claim, 5.6× the median.

Total Paid

$424K

0.00% of all spending

Total Claims

27K

Providers

230

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for G8981? Based on 63 providers billing this code nationally.

Median

$13.79

Average

$30.10

Std Dev

$40.46

Max

$185.61

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.96
Median
$13.79
p75
$43.61
p90
$76.72
p95
$108.53
p99
$166.23

50% of providers bill between $0.96 and $43.61 per claim for this code.

90% bill between $0.01 and $76.72.

Top 1% bill above $166.23.

About This Procedure

HCPCS code G8981 was billed by 230 providers across 27K claims, totaling $424K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.79

Providers Billing

63

National Spending

$424K

Avg/Median Ratio

2.18×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8981

#ProviderTotal Paid
1Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$98K
21942204607$77K
31083618565$50K
41346244084$30K
51366433385$27K
61922162163$23K
71366446080$21K
81265596340$14K
91427217637$13K
101295167294$10K
11Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$8K
121073677167$7K
131275695181$5K
141407851058$4K
151245509041$3K
161750445912$3K
17Fi-broward Nursing Llc

Pompano Beach, FL · Skilled Nursing Facility

$3K
181487681631$3K
191518961226$3K
201750385308$3K

Showing top 20 of 230 providers billing this code