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#5499 of 11K

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)

p10
$0.22
p25
$0.47
Median
$1.19
p75
$2.15
p90
$3.85
p95
$5.23
p99
$21.20

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

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$21K
2Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$16K
31649726738$9K
41922008150$6K
5Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$6K
61457354656$6K
7West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$5K
8Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$5K
91053334755$4K
101225033814$4K
111588712285$4K
12State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$4K
13Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$4K
14Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$3K
15Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$3K
161114902814$3K
17The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$3K
181457343931$3K
19Kern County Hospital Authority

Bakersfield, CA · General Acute Care Hospital

$3K
20Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$2K

Showing top 20 of 289 providers billing this code