84207
HCPCS Procedure Code
HCPCS code 84207 is the #2,336 most-billed Medicaid procedure code, with $6.6M in payments across 471K claims from 2018–2024. The national median cost per claim is $16.96.
Total Paid
$6.6M
0.00% of all spending
Total Claims
471K
Providers
291
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 84207? Based on 275 providers billing this code nationally.
Median
$16.96
Average
$18.72
Std Dev
$12.59
Max
$76.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.63 and $24.26 per claim for this code.
90% bill between $5.53 and $31.18.
Top 1% bill above $70.35.
About This Procedure
HCPCS code 84207 was billed by 291 providers across 471K claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 449K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.96
Providers Billing
275
National Spending
$6.6M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84207
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $840K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $553K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $346K |
| 4 | Ethos Holding Corp Newport, KY · Clinical Medical Laboratory | $325K |
| 5 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $261K |
| 6 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $230K |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $213K |
| 8 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $177K |
| 9 | 1447296272 | $175K |
| 10 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $152K |
| 11 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $135K |
| 12 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $97K |
| 13 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $88K |
| 14 | 1376548271 | $88K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $87K |
| 16 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $84K |
| 17 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $79K |
| 18 | 1861404121 | $71K |
| 19 | 1811997711 | $71K |
| 20 | 1710916945 | $67K |
Showing top 20 of 291 providers billing this code