84238
HCPCS Procedure Code
HCPCS code 84238 is the #4,051 most-billed Medicaid procedure code, with $894K in payments across 55K claims from 2018–2024. The national median cost per claim is $16.87.
Total Paid
$894K
0.00% of all spending
Total Claims
55K
Providers
90
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 84238? Based on 87 providers billing this code nationally.
Median
$16.87
Average
$18.13
Std Dev
$10.62
Max
$43.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.51 and $25.88 per claim for this code.
90% bill between $4.09 and $31.39.
Top 1% bill above $42.99.
About This Procedure
HCPCS code 84238 was billed by 90 providers across 55K claims, totaling $894K in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.87
Providers Billing
87
National Spending
$894K
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84238
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $137K |
| 2 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $81K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $80K |
| 4 | 1508487430 | $74K |
| 5 | 1326448069 | $68K |
| 6 | 1548370745 | $40K |
| 7 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $29K |
| 8 | 1821135963 | $29K |
| 9 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $29K |
| 10 | 1811997711 | $18K |
| 11 | 1891873303 | $18K |
| 12 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $15K |
| 13 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $14K |
| 14 | 1881885333 | $14K |
| 15 | 1063616613 | $13K |
| 16 | 1366773137 | $13K |
| 17 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $11K |
| 18 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $11K |
| 19 | 1053314146 | $11K |
| 20 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $10K |
Showing top 20 of 90 providers billing this code