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#5145 of 11K

83631

HCPCS Procedure Code

HCPCS code 83631 is the #5,145 most-billed Medicaid procedure code, with $277K in payments across 37K claims from 2018–2024. The national median cost per claim is $7.65. Costs vary widely — the 90th percentile is $19.53 per claim, 2.6× the median.

Total Paid

$277K

0.00% of all spending

Total Claims

37K

Providers

39

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 83631? Based on 37 providers billing this code nationally.

Median

$7.65

Average

$9.24

Std Dev

$6.70

Max

$28.41

Percentile Distribution (Cost per Claim)

p10
$2.18
p25
$3.60
Median
$7.65
p75
$13.49
p90
$19.53
p95
$20.39
p99
$25.62

50% of providers bill between $3.60 and $13.49 per claim for this code.

90% bill between $2.18 and $19.53.

Top 1% bill above $25.62.

About This Procedure

HCPCS code 83631 was billed by 39 providers across 37K claims, totaling $277K in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.65

Providers Billing

37

National Spending

$277K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83631

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$93K
2Children's Hospital Corporation

Boston, MA · Clinic/Center

$29K
3Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$24K
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$17K
51649767948$16K
6Genesis Laboratory Management, Llc

Oakhurst, NJ · Clinical Medical Laboratory

$15K
7Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$12K
81780620526$12K
9Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$10K
10Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$7K
11Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$7K
12Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$6K
13Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$3K
141396858791$3K
15Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$3K
16Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$3K
171992775928$2K
181346233277$2K
191487212551$2K
20Newyork-presbyterian-queens

Flushing, NY · General Acute Care Hospital

$1K

Showing top 20 of 39 providers billing this code

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