84520
HCPCS Procedure Code
HCPCS code 84520 is the #793 most-billed Medicaid procedure code, with $79.0M in payments across 17.1M claims from 2018–2024. The national median cost per claim is $0.89. Costs vary widely — the 90th percentile is $14.42 per claim, 16.2× the median.
Total Paid
$79.0M
0.01% of all spending
Total Claims
17.1M
Providers
4,220
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 84520? Based on 3,104 providers billing this code nationally.
Median
$0.89
Average
$11.36
Std Dev
$35.81
Max
$339.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.13 and $3.10 per claim for this code.
90% bill between $0.02 and $14.42.
Top 1% bill above $175.42.
About This Procedure
HCPCS code 84520 was billed by 4,220 providers across 17.1M claims, totaling $79.0M in Medicaid payments from 2018–2024. This code was used for 12.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.89
Providers Billing
3,104
National Spending
$79.0M
Avg/Median Ratio
12.76×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 84520
| # | Provider | Total Paid |
|---|---|---|
| 1 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $1.2M |
| 2 | Renal Care Group Of The Southeast Inc. Pensacola, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $1.0M |
| 3 | 1790897551 | $944K |
| 4 | 1588065510 | $908K |
| 5 | 1609988450 | $867K |
| 6 | 1437168440 | $838K |
| 7 | 1376588046 | $825K |
| 8 | 1225436199 | $806K |
| 9 | 1083726822 | $789K |
| 10 | 1780771998 | $771K |
| 11 | 1912372293 | $765K |
| 12 | 1821520735 | $740K |
| 13 | 1811009665 | $704K |
| 14 | 1336251198 | $689K |
| 15 | 1457449282 | $687K |
| 16 | 1316059165 | $680K |
| 17 | 1801908652 | $660K |
| 18 | 1750493508 | $660K |
| 19 | 1356453195 | $656K |
| 20 | 1528170388 | $646K |
Showing top 20 of 4,220 providers billing this code