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

#3672 of 11K

82985

HCPCS Procedure Code

HCPCS code 82985 is the #3,672 most-billed Medicaid procedure code, with $1.4M in payments across 222K claims from 2018–2024. The national median cost per claim is $6.69. Costs vary widely — the 90th percentile is $13.92 per claim, 2.1× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

222K

Providers

177

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 82985? Based on 163 providers billing this code nationally.

Median

$6.69

Average

$7.53

Std Dev

$5.12

Max

$31.94

Percentile Distribution (Cost per Claim)

p10
$1.63
p25
$3.90
Median
$6.69
p75
$10.50
p90
$13.92
p95
$16.40
p99
$20.43

50% of providers bill between $3.90 and $10.50 per claim for this code.

90% bill between $1.63 and $13.92.

Top 1% bill above $20.43.

About This Procedure

HCPCS code 82985 was billed by 177 providers across 222K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 211K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.69

Providers Billing

163

National Spending

$1.4M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82985

#ProviderTotal Paid
1Permanente Medical Group, Inc.

Richmond, CA · Clinical Medical Laboratory

$182K
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$130K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$116K
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$114K
5Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$62K
6Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$55K
7Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$44K
81891873303$34K
9Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$30K
10St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$29K
11Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$28K
12Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$28K
131619376316$26K
141922259753$22K
15Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$19K
161043271539$17K
17Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$17K
18Stamford Hospital

Stamford, CT · Hospitalist

$17K
191811226749$16K
20Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$15K

Showing top 20 of 177 providers billing this code

Related Procedures