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#6438 of 11K

82540

HCPCS Procedure Code

HCPCS code 82540 is the #6,438 most-billed Medicaid procedure code, with $65K in payments across 134K claims from 2018–2024. The national median cost per claim is $1.39. Costs vary widely — the 90th percentile is $4.07 per claim, 2.9× the median.

Total Paid

$65K

0.00% of all spending

Total Claims

134K

Providers

274

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 82540? Based on 90 providers billing this code nationally.

Median

$1.39

Average

$1.99

Std Dev

$2.31

Max

$12.52

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.25
Median
$1.39
p75
$2.96
p90
$4.07
p95
$4.60
p99
$12.11

50% of providers bill between $0.25 and $2.96 per claim for this code.

90% bill between $0.04 and $4.07.

Top 1% bill above $12.11.

About This Procedure

HCPCS code 82540 was billed by 274 providers across 134K claims, totaling $65K in Medicaid payments from 2018–2024. This code was used for 129K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.39

Providers Billing

90

National Spending

$65K

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82540

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$9K
21942260609$6K
31730115940$4K
41326161662$4K
51063565422$3K
61033281126$3K
7Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$3K
8Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$3K
91396792032$2K
101255713541$2K
111215917588$2K
121932367398$2K
131982952180$2K
141447296272$2K
151699721589$2K
161699732800$1K
171538570528$958
181487865184$920
191285845982$913
201932638566$889

Showing top 20 of 274 providers billing this code