Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6691 of 11K

G8996

HCPCS Procedure Code

HCPCS code G8996 is the #6,691 most-billed Medicaid procedure code, with $48K in payments across 8,981 claims from 2018–2024. The national median cost per claim is $11.40. Costs vary widely — the 90th percentile is $48.45 per claim, 4.3× the median.

Total Paid

$48K

0.00% of all spending

Total Claims

8,981

Providers

124

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for G8996? Based on 50 providers billing this code nationally.

Median

$11.40

Average

$20.50

Std Dev

$29.65

Max

$124.81

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.03
Median
$11.40
p75
$26.57
p90
$48.45
p95
$94.81
p99
$115.83

50% of providers bill between $0.03 and $26.57 per claim for this code.

90% bill between $0.00 and $48.45.

Top 1% bill above $115.83.

About This Procedure

HCPCS code G8996 was billed by 124 providers across 8,981 claims, totaling $48K in Medicaid payments from 2018–2024. This code was used for 6,354 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.40

Providers Billing

50

National Spending

$48K

Avg/Median Ratio

1.80×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G8996

#ProviderTotal Paid
11942204607$9K
21891782462$5K
31003091521$4K
41720089394$2K
51215930995$2K
61821289190$2K
71184629743$2K
8Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$2K
91487681631$2K
101518961226$2K
111366446080$2K
121427217637$1K
131821374505$1K
141265692701$1K
151821093451$1K
16Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$1K
171306199849$1K
18Dignity Health

Phoenix, AZ · Rehabilitation Unit

$849
191366433385$548
201083618565$518

Showing top 20 of 124 providers billing this code