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

#1372 of 11K

84075

HCPCS Procedure Code

HCPCS code 84075 is the #1,372 most-billed Medicaid procedure code, with $25.4M in payments across 8.1M claims from 2018–2024. The national median cost per claim is $0.72. Costs vary widely — the 90th percentile is $28.28 per claim, 39.3× the median.

Total Paid

$25.4M

0.00% of all spending

Total Claims

8.1M

Providers

3,156

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 84075? Based on 2,094 providers billing this code nationally.

Median

$0.72

Average

$13.63

Std Dev

$40.94

Max

$592.35

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.10
Median
$0.72
p75
$3.23
p90
$28.28
p95
$111.62
p99
$192.59

50% of providers bill between $0.10 and $3.23 per claim for this code.

90% bill between $0.02 and $28.28.

Top 1% bill above $192.59.

About This Procedure

HCPCS code 84075 was billed by 3,156 providers across 8.1M claims, totaling $25.4M in Medicaid payments from 2018–2024. This code was used for 7.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.72

Providers Billing

2,094

National Spending

$25.4M

Avg/Median Ratio

18.93×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 84075

#ProviderTotal Paid
11821520735$478K
21225436199$464K
31316127921$405K
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$377K
5St Petersburg Kidney Care South Llc

St Petersburg, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment

$377K
6Permanente Medical Group, Inc.

Richmond, CA · Clinical Medical Laboratory

$369K
7Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$365K
81306991211$354K
91396287082$353K
10West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$318K
111477549756$314K
12Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$312K
131891873303$294K
14Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$292K
151588065510$290K
161114154929$281K
171346522679$267K
181366687055$263K
191588712285$253K
201013238179$248K

Showing top 20 of 3,156 providers billing this code

Related Procedures