#1924 of 11K

84295

Sodium blood level test

Sodium blood level test is the #1,924 most-billed Medicaid procedure code, with $11.5M in payments across 6.7M claims from 2018–2024. The national median cost per claim is $0.88. Costs vary widely — the 90th percentile is $5.34 per claim, 6.1× the median.

Total Paid

$11.5M

0.00% of all spending

Total Claims

6.7M

Providers

1,739

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 84295? Based on 1,272 providers billing this code nationally.

Median

$0.88

Average

$6.46

Std Dev

$24.89

Max

$298.84

Percentile Distribution (Cost per Claim)

p10

$0.03

p25

$0.17

Median

$0.88

p75

$2.90

p90

$5.34

p95

$20.19

p99

$137.82

50% of providers bill between $0.17 and $2.90 per claim for this code.

90% bill between $0.03 and $5.34.

Top 1% bill above $137.82.

About This Procedure

HCPCS code 84295 (Sodium blood level test) was billed by 1,739 providers across 6.7M claims, totaling $11.5M in Medicaid payments from 2018–2024. This code was used for 5.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.88

Providers Billing

1,272

National Spending

$11.5M

Avg/Median Ratio

7.34×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 84295

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory	$603K	$3.58	4.1× median	Above 75th
2	1942293691	$477K	$140.51	159.7× median	Top 1%
3	1245720820	$438K	$3.10	3.5× median	Above 75th
4	Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory	$404K	$0.27	0.3× median	Below Median
5	1316127921	$402K	$154.17	175.2× median	Top 1%
6	1124024922	$395K	$3.35	3.8× median	Above 75th
7	Rhode Island Hospital Providence, RI · General Acute Care Hospital	$363K	$134.01	152.3× median	Top 10%
8	1346522679	$291K	$60.38	68.6× median	Top 10%
9	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$287K	$1.25	1.4× median	Above Median
10	1366687055	$263K	$178.20	202.5× median	Top 1%
11	1790897551	$260K	$226.01	256.8× median	Top 1%
12	1982606992	$241K	$2.88	3.3× median	Above Median
13	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$235K	$2.31	2.6× median	Above Median
14	1396287082	$223K	$3.37	3.8× median	Above 75th
15	1588065510	$222K	$123.39	140.2× median	Top 10%
16	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$204K	$1.55	1.8× median	Above Median
17	1952307589	$197K	$122.79	139.5× median	Top 10%
18	1891788550	$194K	$161.79	183.8× median	Top 1%
19	Central Florida Kidney Centers Inc Orlando, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment	$180K	$123.08	139.9× median	Top 10%
20	1154567998	$175K	$97.83	111.2× median	Top 10%

Showing top 20 of 1,739 providers billing this code

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