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#5883 of 11K

G8991

HCPCS Procedure Code

HCPCS code G8991 is the #5,883 most-billed Medicaid procedure code, with $125K in payments across 24K claims from 2018–2024. The national median cost per claim is $12.62. Costs vary widely — the 90th percentile is $49.26 per claim, 3.9× the median.

Total Paid

$125K

0.00% of all spending

Total Claims

24K

Providers

173

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for G8991? Based on 51 providers billing this code nationally.

Median

$12.62

Average

$20.06

Std Dev

$24.32

Max

$119.70

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.57
Median
$12.62
p75
$30.60
p90
$49.26
p95
$56.03
p99
$97.79

50% of providers bill between $0.57 and $30.60 per claim for this code.

90% bill between $0.01 and $49.26.

Top 1% bill above $97.79.

About This Procedure

HCPCS code G8991 was billed by 173 providers across 24K claims, totaling $125K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.62

Providers Billing

51

National Spending

$125K

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G8991

#ProviderTotal Paid
11467475376$24K
21023387776$16K
31851660500$9K
41487641189$8K
51184629743$8K
61740295567$7K
71407347982$7K
81871670067$5K
91720082688$5K
101801152137$5K
111285621987$4K
121710294020$3K
131114352168$3K
141750445912$3K
151265692701$2K
161073900569$2K
171902175656$1K
181053308775$1K
191487681631$1K
201063692333$1K

Showing top 20 of 173 providers billing this code