C8937
HCPCS Procedure Code
HCPCS code C8937 is the #6,203 most-billed Medicaid procedure code, with $84K in payments across 2K claims from 2018–2024. The national median cost per claim is $21.00. Costs vary widely — the 90th percentile is $106.25 per claim, 5.1× the median.
Total Paid
$84K
0.00% of all spending
Total Claims
2K
Providers
10
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for C8937? Based on 5 providers billing this code nationally.
Median
$21.00
Average
$43.82
Std Dev
$57.18
Max
$135.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.10 and $62.54 per claim for this code.
90% bill between $0.08 and $106.25.
Top 1% bill above $132.47.
About This Procedure
HCPCS code C8937 was billed by 10 providers across 2K claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.00
Providers Billing
5
National Spending
$84K
Avg/Median Ratio
2.09×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for C8937
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1366459570 | $72K |
| 2 | 1477616571 | $12K |
| 3 | 1437230034 | $651 |
| 4 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $32 |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $1 |
| 6 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $0 |
| 7 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $0 |
| 8 | 1164493847 | $0 |
| 9 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $0 |
| 10 | William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital | $0 |
Showing top 10 of 10 providers billing this code