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#6923 of 11K

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)

p10
$0.00
p25
$0.00
Median
$0.25
p75
$2.01
p90
$15.15
p95
$33.00
p99
$106.95

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

#ProviderTotal Paid
11942204771$15K
21679660617$4K
31821186313$4K
41699874248$3K
5Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$2K
61225083207$2K
71710043526$2K
81275695181$1K
9University Of Kentucky

Lexington, KY · General Acute Care Hospital

$760
101477559433$590
111598975120$274
121679891295$196
131013919620$194
14Virtua - West Jersey Health System Inc.

Voorhees, NJ · General Acute Care Hospital

$183
151699145490$150
16Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$131
17Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$123
181235139312$98
19St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$75
201093736001$64

Showing top 20 of 280 providers billing this code