G8997
HCPCS Procedure Code
HCPCS code G8997 is the #6,521 most-billed Medicaid procedure code, with $58K in payments across 12K claims from 2018–2024. The national median cost per claim is $3.58. Costs vary widely — the 90th percentile is $45.29 per claim, 12.7× the median.
Total Paid
$58K
0.00% of all spending
Total Claims
12K
Providers
144
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for G8997? Based on 48 providers billing this code nationally.
Median
$3.58
Average
$17.53
Std Dev
$28.65
Max
$136.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $23.68 per claim for this code.
90% bill between $0.00 and $45.29.
Top 1% bill above $122.34.
About This Procedure
HCPCS code G8997 was billed by 144 providers across 12K claims, totaling $58K in Medicaid payments from 2018–2024. This code was used for 7,745 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.58
Providers Billing
48
National Spending
$58K
Avg/Median Ratio
4.90×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G8997
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1821093451 | $9K |
| 2 | 1942204607 | $9K |
| 3 | 1891782462 | $6K |
| 4 | 1366446080 | $5K |
| 5 | 1366433385 | $4K |
| 6 | 1396732012 | $3K |
| 7 | 1720089394 | $3K |
| 8 | 1184629743 | $3K |
| 9 | 1104814979 | $2K |
| 10 | 1518961226 | $2K |
| 11 | 1821289190 | $2K |
| 12 | 1790846079 | $2K |
| 13 | 1265692701 | $1K |
| 14 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $1K |
| 15 | 1255335857 | $972 |
| 16 | 1487681631 | $813 |
| 17 | 1053308775 | $668 |
| 18 | 1508863911 | $593 |
| 19 | 1427217637 | $553 |
| 20 | 1760479380 | $517 |
Showing top 20 of 144 providers billing this code