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#2451 of 11K

82435

HCPCS Procedure Code

HCPCS code 82435 is the #2,451 most-billed Medicaid procedure code, with $5.7M in payments across 5.1M claims from 2018–2024. The national median cost per claim is $0.69. Costs vary widely — the 90th percentile is $6.27 per claim, 9.1× the median.

Total Paid

$5.7M

0.00% of all spending

Total Claims

5.1M

Providers

1,205

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 82435? Based on 824 providers billing this code nationally.

Median

$0.69

Average

$7.36

Std Dev

$28.09

Max

$298.84

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.14
Median
$0.69
p75
$2.37
p90
$6.27
p95
$36.02
p99
$165.41

50% of providers bill between $0.14 and $2.37 per claim for this code.

90% bill between $0.02 and $6.27.

Top 1% bill above $165.41.

About This Procedure

HCPCS code 82435 was billed by 1,205 providers across 5.1M claims, totaling $5.7M in Medicaid payments from 2018–2024. This code was used for 4.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.69

Providers Billing

824

National Spending

$5.7M

Avg/Median Ratio

10.67×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 82435

#ProviderTotal Paid
11316127921$424K
2Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$373K
31346522679$274K
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$262K
5Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$227K
61588065510$218K
71396283339$204K
8Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$187K
91447595368$148K
101972625499$125K
111588712285$117K
121740267483$107K
131376885228$104K
141689987539$97K
151568411940$94K
16West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$91K
171821520735$78K
181720190572$77K
19Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$76K
201114239068$66K

Showing top 20 of 1,205 providers billing this code