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#2862 of 11K

84163

HCPCS Procedure Code

HCPCS code 84163 is the #2,862 most-billed Medicaid procedure code, with $3.3M in payments across 337K claims from 2018–2024. The national median cost per claim is $10.88.

Total Paid

$3.3M

0.00% of all spending

Total Claims

337K

Providers

152

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 84163? Based on 147 providers billing this code nationally.

Median

$10.88

Average

$13.36

Std Dev

$15.54

Max

$144.22

Percentile Distribution (Cost per Claim)

p10
$2.58
p25
$8.01
Median
$10.88
p75
$14.52
p90
$17.80
p95
$29.62
p99
$80.26

50% of providers bill between $8.01 and $14.52 per claim for this code.

90% bill between $2.58 and $17.80.

Top 1% bill above $80.26.

About This Procedure

HCPCS code 84163 was billed by 152 providers across 337K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 318K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.88

Providers Billing

147

National Spending

$3.3M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84163

#ProviderTotal Paid
11992779664$1.1M
2Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$586K
31801197256$433K
4Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$123K
5Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$106K
61134195357$88K
71467753814$65K
81649572017$62K
9Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$48K
10Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$43K
11Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$37K
121851371561$32K
13Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$32K
141174517353$28K
151629218094$25K
16Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$24K
17Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$21K
181508051525$20K
19Curators Of The University Of Missouri

Columbia, MO · General Acute Care Hospital

$18K
20Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$17K

Showing top 20 of 152 providers billing this code