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#6921 of 11K

82438

HCPCS Procedure Code

HCPCS code 82438 is the #6,921 most-billed Medicaid procedure code, with $37K in payments across 14K claims from 2018–2024. The national median cost per claim is $4.10. Costs vary widely — the 90th percentile is $10.18 per claim, 2.5× the median.

Total Paid

$37K

0.00% of all spending

Total Claims

14K

Providers

40

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 82438? Based on 35 providers billing this code nationally.

Median

$4.10

Average

$5.61

Std Dev

$7.13

Max

$33.18

Percentile Distribution (Cost per Claim)

p10
$0.54
p25
$1.34
Median
$4.10
p75
$6.07
p90
$10.18
p95
$19.22
p99
$31.36

50% of providers bill between $1.34 and $6.07 per claim for this code.

90% bill between $0.54 and $10.18.

Top 1% bill above $31.36.

About This Procedure

HCPCS code 82438 was billed by 40 providers across 14K claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.10

Providers Billing

35

National Spending

$37K

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82438

#ProviderTotal Paid
1Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$10K
21174172845$8K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$5K
4Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$4K
51871522680$2K
61932280666$1K
7Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$668
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$626
91346297843$608
101073587937$527
111144471715$514
12Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$435
13The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$431
14State Of Connecticut

Farmington, CT · Counselor, Professional

$412
15Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$205
16Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$199
17Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$151
181649726738$143
19Florida Clinical Practice Association Inc

Gainesville, FL · Surgery

$130
20Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$119

Showing top 20 of 40 providers billing this code