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#3079 of 11K

82397

HCPCS Procedure Code

HCPCS code 82397 is the #3,079 most-billed Medicaid procedure code, with $2.6M in payments across 321K claims from 2018–2024. The national median cost per claim is $8.93. Costs vary widely — the 90th percentile is $20.87 per claim, 2.3× the median.

Total Paid

$2.6M

0.00% of all spending

Total Claims

321K

Providers

231

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 82397? Based on 212 providers billing this code nationally.

Median

$8.93

Average

$11.90

Std Dev

$14.26

Max

$114.28

Percentile Distribution (Cost per Claim)

p10
$2.47
p25
$4.85
Median
$8.93
p75
$13.74
p90
$20.87
p95
$27.61
p99
$96.42

50% of providers bill between $4.85 and $13.74 per claim for this code.

90% bill between $2.47 and $20.87.

Top 1% bill above $96.42.

About This Procedure

HCPCS code 82397 was billed by 231 providers across 321K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 297K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.93

Providers Billing

212

National Spending

$2.6M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82397

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$122K
2Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$120K
3Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$109K
4Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$108K
51962489237$88K
6Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$85K
71073642641$84K
8Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$81K
9Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$75K
101780620526$74K
11Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$73K
12Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$54K
13Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$50K
14Curators Of The University Of Missouri

Columbia, MO · General Acute Care Hospital

$49K
15Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$46K
16Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$44K
17Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$41K
18Children's Hospital Corporation

Boston, MA · Clinic/Center

$40K
19Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$36K
20Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$34K

Showing top 20 of 231 providers billing this code

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