0821
Revenue code, other laboratory services
Revenue code, other laboratory services is the #494 most-billed Medicaid procedure code, with $185.3M in payments across 460K claims from 2018–2024. The national median cost per claim is $864.26. Costs vary widely — the 90th percentile is $1,757.25 per claim, 2.0× the median.
Total Paid
$185.3M
0.02% of all spending
Total Claims
460K
Providers
121
Avg Cost/Claim
$403
National Cost Distribution
How much do providers bill per claim for 0821? Based on 104 providers billing this code nationally.
Median
$864.26
Average
$790.91
Std Dev
$642.94
Max
$2,337.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $141.29 and $1,102.29 per claim for this code.
90% bill between $122.66 and $1,757.25.
Top 1% bill above $2,258.59.
About This Procedure
HCPCS code 0821 (Revenue code, other laboratory services) was billed by 121 providers across 460K claims, totaling $185.3M in Medicaid payments from 2018–2024. This code was used for 72K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$864.26
Providers Billing
104
National Spending
$185.3M
Avg/Median Ratio
0.92×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0821
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235594656 | $12.4M |
| 2 | 1962461418 | $7.5M |
| 3 | 1902869035 | $6.7M |
| 4 | 1386779270 | $6.2M |
| 5 | 1700845278 | $4.9M |
| 6 | 1073576153 | $4.8M |
| 7 | 1659780120 | $4.7M |
| 8 | 1013981984 | $4.5M |
| 9 | 1124261854 | $4.5M |
| 10 | 1720041908 | $4.4M |
| 11 | 1700845286 | $4.3M |
| 12 | 1770618571 | $4.2M |
| 13 | 1639132772 | $4.2M |
| 14 | 1073587986 | $3.9M |
| 15 | 1841547460 | $3.9M |
| 16 | 1003879081 | $3.8M |
| 17 | 1730190331 | $3.7M |
| 18 | 1154384121 | $3.7M |
| 19 | 1376502831 | $3.5M |
| 20 | 1922061944 | $3.4M |
Showing top 20 of 121 providers billing this code