#4810 of 11K

84560

HCPCS Procedure Code

HCPCS code 84560 is the #4,810 most-billed Medicaid procedure code, with $388K in payments across 163K claims from 2018–2024. The national median cost per claim is $2.51.

Total Paid

$388K

0.00% of all spending

Total Claims

163K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 84560? Based on 74 providers billing this code nationally.

Median

$2.51

Average

$2.67

Std Dev

$1.89

Max

$9.50

Percentile Distribution (Cost per Claim)

p10

$0.53

p25

$1.31

Median

$2.51

p75

$3.79

p90

$4.88

p95

$5.90

p99

$8.47

50% of providers bill between $1.31 and $3.79 per claim for this code.

90% bill between $0.53 and $4.88.

Top 1% bill above $8.47.

About This Procedure

HCPCS code 84560 was billed by 77 providers across 163K claims, totaling $388K in Medicaid payments from 2018–2024. This code was used for 143K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.51

Providers Billing

National Spending

$388K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84560

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1699849786	$224K	$2.62	1.0× median	Above Median
2	1083698534	$51K	$2.20	0.9× median	Below Median
3	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$15K	$2.60	1.0× median	Above Median
4	1912997354	$12K	$2.51	1.0× median	Above Median
5	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$9K	$2.88	1.1× median	Above Median
6	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$8K	$2.50	1.0× median	Below Median
7	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$8K	$1.32	0.5× median	Below Median
8	1700821808	$7K	$5.27	2.1× median	Top 10%
9	1578529285	$6K	$9.50	3.8× median	Top 1%
10	1235234402	$5K	$2.66	1.1× median	Above Median
11	1891873303	$4K	$1.44	0.6× median	Below Median
12	1811997711	$4K	$2.92	1.2× median	Above Median
13	The Griffin Hospital Derby, CT · Clinic/Center, Emergency Care	$4K	$1.89	0.8× median	Below Median
14	1104829159	$3K	$2.64	1.1× median	Above Median
15	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$3K	$1.84	0.7× median	Below Median
16	1477925188	$3K	$4.37	1.7× median	Above 75th
17	1083249577	$2K	$4.13	1.6× median	Above 75th
18	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$2K	$1.62	0.6× median	Below Median
19	1306896253	$2K	$5.12	2.0× median	Top 10%
20	1336145168	$2K	$4.20	1.7× median	Above 75th

Showing top 20 of 77 providers billing this code

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