84315
HCPCS Procedure Code
HCPCS code 84315 is the #5,753 most-billed Medicaid procedure code, with $145K in payments across 185K claims from 2018–2024. The national median cost per claim is $0.83. Costs vary widely — the 90th percentile is $2.58 per claim, 3.1× the median.
Total Paid
$145K
0.00% of all spending
Total Claims
185K
Providers
28
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 84315? Based on 25 providers billing this code nationally.
Median
$0.83
Average
$1.18
Std Dev
$0.98
Max
$4.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.57 and $1.41 per claim for this code.
90% bill between $0.29 and $2.58.
Top 1% bill above $3.89.
About This Procedure
HCPCS code 84315 was billed by 28 providers across 185K claims, totaling $145K in Medicaid payments from 2018–2024. This code was used for 128K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.83
Providers Billing
25
National Spending
$145K
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84315
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811081797 | $70K |
| 2 | 1386915700 | $47K |
| 3 | 1265854855 | $7K |
| 4 | 1073961108 | $6K |
| 5 | 1043271539 | $5K |
| 6 | 1194744185 | $3K |
| 7 | 1538465497 | $1K |
| 8 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $798 |
| 9 | 1649418351 | $796 |
| 10 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $760 |
| 11 | 1053841023 | $527 |
| 12 | 1922666049 | $444 |
| 13 | 1093136418 | $381 |
| 14 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $347 |
| 15 | 1629078712 | $307 |
| 16 | 1144399098 | $296 |
| 17 | 1669617197 | $212 |
| 18 | 1215219860 | $124 |
| 19 | 1689682999 | $118 |
| 20 | 1265789416 | $105 |
Showing top 20 of 28 providers billing this code