G8985
HCPCS Procedure Code
HCPCS code G8985 is the #6,923 most-billed Medicaid procedure code, with $36K in payments across 45K claims from 2018–2024. The national median cost per claim is $0.25. Costs vary widely — the 90th percentile is $15.15 per claim, 60.6× the median.
Total Paid
$36K
0.00% of all spending
Total Claims
45K
Providers
280
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for G8985? Based on 51 providers billing this code nationally.
Median
$0.25
Average
$7.09
Std Dev
$22.25
Max
$132.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $2.01 per claim for this code.
90% bill between $0.00 and $15.15.
Top 1% bill above $106.95.
About This Procedure
HCPCS code G8985 was billed by 280 providers across 45K claims, totaling $36K in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.25
Providers Billing
51
National Spending
$36K
Avg/Median Ratio
28.36×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G8985
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942204771 | $15K |
| 2 | 1679660617 | $4K |
| 3 | 1821186313 | $4K |
| 4 | 1699874248 | $3K |
| 5 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $2K |
| 6 | 1225083207 | $2K |
| 7 | 1710043526 | $2K |
| 8 | 1275695181 | $1K |
| 9 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $760 |
| 10 | 1477559433 | $590 |
| 11 | 1598975120 | $274 |
| 12 | 1679891295 | $196 |
| 13 | 1013919620 | $194 |
| 14 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $183 |
| 15 | 1699145490 | $150 |
| 16 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $131 |
| 17 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $123 |
| 18 | 1235139312 | $98 |
| 19 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $75 |
| 20 | 1093736001 | $64 |
Showing top 20 of 280 providers billing this code