84157
HCPCS Procedure Code
HCPCS code 84157 is the #5,499 most-billed Medicaid procedure code, with $186K in payments across 128K claims from 2018–2024. The national median cost per claim is $1.19. Costs vary widely — the 90th percentile is $3.85 per claim, 3.2× the median.
Total Paid
$186K
0.00% of all spending
Total Claims
128K
Providers
289
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 84157? Based on 256 providers billing this code nationally.
Median
$1.19
Average
$2.07
Std Dev
$4.21
Max
$39.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.47 and $2.15 per claim for this code.
90% bill between $0.22 and $3.85.
Top 1% bill above $21.20.
About This Procedure
HCPCS code 84157 was billed by 289 providers across 128K claims, totaling $186K in Medicaid payments from 2018–2024. This code was used for 97K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.19
Providers Billing
256
National Spending
$186K
Avg/Median Ratio
1.74×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 84157
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $21K |
| 2 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $16K |
| 3 | 1649726738 | $9K |
| 4 | 1922008150 | $6K |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $6K |
| 6 | 1457354656 | $6K |
| 7 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $5K |
| 8 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $5K |
| 9 | 1053334755 | $4K |
| 10 | 1225033814 | $4K |
| 11 | 1588712285 | $4K |
| 12 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $4K |
| 13 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $4K |
| 14 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $3K |
| 15 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $3K |
| 16 | 1114902814 | $3K |
| 17 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $3K |
| 18 | 1457343931 | $3K |
| 19 | Kern County Hospital Authority Bakersfield, CA · General Acute Care Hospital | $3K |
| 20 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $2K |
Showing top 20 of 289 providers billing this code