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#6967 of 11K

G8994

HCPCS Procedure Code

HCPCS code G8994 is the #6,967 most-billed Medicaid procedure code, with $34K in payments across 2,028 claims from 2018–2024. The national median cost per claim is $26.37. Costs vary widely — the 90th percentile is $103.05 per claim, 3.9× the median.

Total Paid

$34K

0.00% of all spending

Total Claims

2,028

Providers

21

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for G8994? Based on 14 providers billing this code nationally.

Median

$26.37

Average

$39.06

Std Dev

$50.75

Max

$167.16

Percentile Distribution (Cost per Claim)

p10
$0.05
p25
$0.52
Median
$26.37
p75
$42.86
p90
$103.05
p95
$127.01
p99
$159.13

50% of providers bill between $0.52 and $42.86 per claim for this code.

90% bill between $0.05 and $103.05.

Top 1% bill above $159.13.

About This Procedure

HCPCS code G8994 was billed by 21 providers across 2,028 claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 1,245 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.37

Providers Billing

14

National Spending

$34K

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G8994

#ProviderTotal Paid
11942204607$10K
21306840145$8K
31255336988$5K
41801152137$4K
51508863911$2K
61376530956$2K
71861548562$2K
81487641189$1K
91720089394$72
101215930995$39
111972506327$31
121649397308$6
131871975920$1
141427041581$0
151427043298$0
161437153988$0
171790789675$0
181235314261$0
191841247038$0
201811157019$0

Showing top 20 of 21 providers billing this code