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#1197 of 11K

84460

HCPCS Procedure Code

HCPCS code 84460 is the #1,197 most-billed Medicaid procedure code, with $34.0M in payments across 13.3M claims from 2018–2024. The national median cost per claim is $2.58. Costs vary widely — the 90th percentile is $7.56 per claim, 2.9× the median.

Total Paid

$34.0M

0.00% of all spending

Total Claims

13.3M

Providers

3K

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 84460? Based on 2K providers billing this code nationally.

Median

$2.58

Average

$6.87

Std Dev

$24.85

Max

$592.35

Percentile Distribution (Cost per Claim)

p10
$0.11
p25
$0.65
Median
$2.58
p75
$4.58
p90
$7.56
p95
$18.25
p99
$136.05

50% of providers bill between $0.65 and $4.58 per claim for this code.

90% bill between $0.11 and $7.56.

Top 1% bill above $136.05.

About This Procedure

HCPCS code 84460 was billed by 3K providers across 13.3M claims, totaling $34.0M in Medicaid payments from 2018–2024. This code was used for 12.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.58

Providers Billing

2K

National Spending

$34.0M

Avg/Median Ratio

2.66×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 84460

#ProviderTotal Paid
11245720820$2.1M
2Permanente Medical Group, Inc.

Richmond, CA · Clinical Medical Laboratory

$1.6M
31396287082$1.3M
41891873303$1.3M
51255335535$535K
61821143777$488K
71225436199$456K
81306991211$439K
9Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$433K
10Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$425K
11West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$413K
12Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$405K
13Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$400K
14Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$371K
15St Petersburg Kidney Care South Llc

St Petersburg, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment

$369K
16Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$362K
17Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$343K
18Kaiser Foundation Hospitals

Baldwin Park, CA · General Acute Care Hospital

$339K
19Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$338K
201134274897$329K

Showing top 20 of 3K providers billing this code