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

#955 of 11K

82105

HCPCS Procedure Code

HCPCS code 82105 is the #955 most-billed Medicaid procedure code, with $54.6M in payments across 4.2M claims from 2018–2024. The national median cost per claim is $11.11.

Total Paid

$54.6M

0.00% of all spending

Total Claims

4.2M

Providers

1K

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 82105? Based on 1K providers billing this code nationally.

Median

$11.11

Average

$13.91

Std Dev

$23.67

Max

$601.16

Percentile Distribution (Cost per Claim)

p10
$3.15
p25
$6.68
Median
$11.11
p75
$15.55
p90
$21.27
p95
$33.32
p99
$68.13

50% of providers bill between $6.68 and $15.55 per claim for this code.

90% bill between $3.15 and $21.27.

Top 1% bill above $68.13.

About This Procedure

HCPCS code 82105 was billed by 1K providers across 4.2M claims, totaling $54.6M in Medicaid payments from 2018–2024. This code was used for 3.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.11

Providers Billing

1K

National Spending

$54.6M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82105

#ProviderTotal Paid
1Genetic Disease Screening Program State Of Ca

Richmond, CA · Clinical Medical Laboratory

$14.5M
2Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$8.3M
31992779664$1.5M
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1.2M
5Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$902K
6Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$856K
7Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$816K
8Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$816K
9Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$805K
10Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$673K
11Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$627K
12Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$609K
131801197256$523K
14Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$490K
15Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$438K
16Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$417K
17Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$413K
181235186800$387K
19Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$365K
20Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$362K

Showing top 20 of 1K providers billing this code