84255
HCPCS Procedure Code
HCPCS code 84255 is the #4,099 most-billed Medicaid procedure code, with $851K in payments across 68K claims from 2018–2024. The national median cost per claim is $13.10.
Total Paid
$851K
0.00% of all spending
Total Claims
68K
Providers
98
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 84255? Based on 95 providers billing this code nationally.
Median
$13.10
Average
$14.31
Std Dev
$10.83
Max
$73.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.04 and $19.06 per claim for this code.
90% bill between $3.68 and $22.98.
Top 1% bill above $62.18.
About This Procedure
HCPCS code 84255 was billed by 98 providers across 68K claims, totaling $851K in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.10
Providers Billing
95
National Spending
$851K
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84255
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $175K |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $147K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $78K |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $33K |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $33K |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $29K |
| 7 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $26K |
| 8 | Rochester General Hospital-lab Rochester, NY · Clinical Medical Laboratory | $25K |
| 9 | 1447296272 | $19K |
| 10 | 1811997711 | $19K |
| 11 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $17K |
| 12 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $17K |
| 13 | 1033124961 | $16K |
| 14 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $15K |
| 15 | 1770529513 | $15K |
| 16 | 1942226006 | $14K |
| 17 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $14K |
| 18 | 1043271539 | $13K |
| 19 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $11K |
| 20 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $10K |
Showing top 20 of 98 providers billing this code