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#2012 of 11K

84154

HCPCS Procedure Code

HCPCS code 84154 is the #2,012 most-billed Medicaid procedure code, with $10.1M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $9.28.

Total Paid

$10.1M

0.00% of all spending

Total Claims

1.3M

Providers

415

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 84154? Based on 376 providers billing this code nationally.

Median

$9.28

Average

$9.68

Std Dev

$8.18

Max

$88.24

Percentile Distribution (Cost per Claim)

p10
$1.34
p25
$4.15
Median
$9.28
p75
$13.27
p90
$17.31
p95
$18.70
p99
$31.73

50% of providers bill between $4.15 and $13.27 per claim for this code.

90% bill between $1.34 and $17.31.

Top 1% bill above $31.73.

About This Procedure

HCPCS code 84154 was billed by 415 providers across 1.3M claims, totaling $10.1M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.28

Providers Billing

376

National Spending

$10.1M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84154

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1.6M
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$807K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$765K
4Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$591K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$479K
6Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$465K
7Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$317K
8Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$307K
9Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$286K
10Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$240K
11Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$197K
12Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$173K
13Accurate Diagnostics Labs, Inc.

South Plainfield, NJ · Clinical Medical Laboratory

$164K
14Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$144K
15Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$142K
16Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$132K
17Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$109K
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$92K
19Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$85K
20Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$78K

Showing top 20 of 415 providers billing this code