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#6779 of 11K

3085F

HCPCS Procedure Code

HCPCS code 3085F is the #6,779 most-billed Medicaid procedure code, with $43K in payments across 162K claims from 2018–2024. The national median cost per claim is $0.85. Costs vary widely — the 90th percentile is $8.33 per claim, 9.8× the median.

Total Paid

$43K

0.00% of all spending

Total Claims

162K

Providers

159

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 3085F? Based on 26 providers billing this code nationally.

Median

$0.85

Average

$3.26

Std Dev

$4.61

Max

$17.23

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.27
Median
$0.85
p75
$4.67
p90
$8.33
p95
$13.81
p99
$16.69

50% of providers bill between $0.27 and $4.67 per claim for this code.

90% bill between $0.04 and $8.33.

Top 1% bill above $16.69.

About This Procedure

HCPCS code 3085F was billed by 159 providers across 162K claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 139K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.85

Providers Billing

26

National Spending

$43K

Avg/Median Ratio

3.84×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 3085F

#ProviderTotal Paid
11669708756$31K
21629219514$7K
31013331396$2K
41427525294$1K
51073527453$600
61376011650$479
71659501302$320
81124537246$200
91992868657$170
101548760820$140
111295711372$100
121326237132$90
131639195084$80
141427416437$75
151285275560$61
161093338527$60
171427228998$40
181326459496$40
191427016138$40
201275575888$20

Showing top 20 of 159 providers billing this code