#4080 of 11K

84300

HCPCS Procedure Code

HCPCS code 84300 is the #4,080 most-billed Medicaid procedure code, with $867K in payments across 450K claims from 2018–2024. The national median cost per claim is $2.06. Costs vary widely — the 90th percentile is $4.23 per claim, 2.1× the median.

Total Paid

$867K

0.00% of all spending

Total Claims

450K

Providers

452

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 84300? Based on 430 providers billing this code nationally.

Median

$2.06

Average

$2.44

Std Dev

$6.74

Max

$133.33

Percentile Distribution (Cost per Claim)

p10

$0.34

p25

$0.80

Median

$2.06

p75

$2.54

p90

$4.23

p95

$5.20

p99

$9.21

50% of providers bill between $0.80 and $2.54 per claim for this code.

90% bill between $0.34 and $4.23.

Top 1% bill above $9.21.

About This Procedure

HCPCS code 84300 was billed by 452 providers across 450K claims, totaling $867K in Medicaid payments from 2018–2024. This code was used for 382K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.06

Providers Billing

430

National Spending

$867K

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84300

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1699849786	$225K	$2.61	1.3× median	Above 75th
2	1083698534	$53K	$2.27	1.1× median	Above Median
3	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$23K	$2.68	1.3× median	Above 75th
4	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$21K	$1.56	0.8× median	Below Median
5	1053334755	$16K	$2.14	1.0× median	Above Median
6	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$14K	$2.47	1.2× median	Above Median
7	1457354656	$13K	$2.62	1.3× median	Above 75th
8	1912997354	$13K	$2.65	1.3× median	Above 75th
9	1114902814	$12K	$2.19	1.1× median	Above Median
10	1588712285	$10K	$2.39	1.2× median	Above Median
11	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$10K	$2.67	1.3× median	Above 75th
12	1972582062	$10K	$2.11	1.0× median	Above Median
13	The Miriam Hospital Providence, RI · General Acute Care Hospital	$10K	$31.92	15.5× median	Top 1%
14	1922008150	$9K	$2.17	1.1× median	Above Median
15	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$9K	$1.83	0.9× median	Below Median
16	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$8K	$1.17	0.6× median	Below Median
17	1437125580	$8K	$2.10	1.0× median	Above Median
18	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$8K	$2.40	1.2× median	Above Median
19	1043218944	$7K	$6.50	3.2× median	Top 10%
20	Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory	$7K	$4.67	2.3× median	Top 10%

Showing top 20 of 452 providers billing this code

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