84311
HCPCS Procedure Code
HCPCS code 84311 is the #3,403 most-billed Medicaid procedure code, with $1.8M in payments across 908K claims from 2018–2024. The national median cost per claim is $1.60. Costs vary widely — the 90th percentile is $8.03 per claim, 5.0× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
908K
Providers
137
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 84311? Based on 116 providers billing this code nationally.
Median
$1.60
Average
$3.37
Std Dev
$5.32
Max
$46.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.44 and $4.59 per claim for this code.
90% bill between $0.15 and $8.03.
Top 1% bill above $21.04.
About This Procedure
HCPCS code 84311 was billed by 137 providers across 908K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 495K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.60
Providers Billing
116
National Spending
$1.8M
Avg/Median Ratio
2.11×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 84311
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $894K |
| 2 | 1043271539 | $205K |
| 3 | 1700844339 | $167K |
| 4 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $57K |
| 5 | 1518950732 | $42K |
| 6 | 1508996653 | $32K |
| 7 | 1053361352 | $26K |
| 8 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $26K |
| 9 | 1548597016 | $24K |
| 10 | 1619376316 | $24K |
| 11 | 1891873303 | $24K |
| 12 | 1073587937 | $22K |
| 13 | 1326386939 | $22K |
| 14 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $20K |
| 15 | 1336464668 | $17K |
| 16 | 1871744243 | $15K |
| 17 | 1649418351 | $14K |
| 18 | 1598266421 | $14K |
| 19 | 1073961108 | $10K |
| 20 | Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory | $9K |
Showing top 20 of 137 providers billing this code