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#2423 of 11K

84305

HCPCS Procedure Code

HCPCS code 84305 is the #2,423 most-billed Medicaid procedure code, with $5.9M in payments across 501K claims from 2018–2024. The national median cost per claim is $14.56.

Total Paid

$5.9M

0.00% of all spending

Total Claims

501K

Providers

315

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 84305? Based on 303 providers billing this code nationally.

Median

$14.56

Average

$16.47

Std Dev

$17.44

Max

$232.78

Percentile Distribution (Cost per Claim)

p10
$3.88
p25
$9.23
Median
$14.56
p75
$19.70
p90
$25.22
p95
$31.90
p99
$54.93

50% of providers bill between $9.23 and $19.70 per claim for this code.

90% bill between $3.88 and $25.22.

Top 1% bill above $54.93.

About This Procedure

HCPCS code 84305 was billed by 315 providers across 501K claims, totaling $5.9M in Medicaid payments from 2018–2024. This code was used for 480K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.56

Providers Billing

303

National Spending

$5.9M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84305

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$473K
2Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$266K
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$244K
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$233K
51780620526$229K
6Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$182K
7Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$156K
8Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$153K
9Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$151K
10Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$148K
11Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$145K
12Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$142K
13Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$110K
14Children's Hospital Corporation

Boston, MA · Clinic/Center

$82K
15Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$81K
16Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$76K
17Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$75K
18Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$71K
191881697464$70K
20Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$69K

Showing top 20 of 315 providers billing this code