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#1047 of 11K

84481

HCPCS Procedure Code

HCPCS code 84481 is the #1,047 most-billed Medicaid procedure code, with $45.9M in payments across 5.9M claims from 2018–2024. The national median cost per claim is $9.37.

Total Paid

$45.9M

0.00% of all spending

Total Claims

5.9M

Providers

2K

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 84481? Based on 2K providers billing this code nationally.

Median

$9.37

Average

$10.47

Std Dev

$9.96

Max

$207.98

Percentile Distribution (Cost per Claim)

p10
$1.51
p25
$4.83
Median
$9.37
p75
$13.86
p90
$17.74
p95
$22.89
p99
$50.62

50% of providers bill between $4.83 and $13.86 per claim for this code.

90% bill between $1.51 and $17.74.

Top 1% bill above $50.62.

About This Procedure

HCPCS code 84481 was billed by 2K providers across 5.9M claims, totaling $45.9M in Medicaid payments from 2018–2024. This code was used for 5.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.37

Providers Billing

2K

National Spending

$45.9M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84481

#ProviderTotal Paid
1Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$2.6M
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.7M
3Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$1.6M
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.3M
5Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$1.2M
6Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1.1M
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$1.0M
8Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$935K
9Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$837K
10Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$804K
111598747651$781K
12Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$770K
13Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$717K
14Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$712K
15Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$704K
16Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$703K
17Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$624K
181235186800$556K
191467586792$524K
20Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$521K

Showing top 20 of 2K providers billing this code