Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#9215 of 11K

84580

HCPCS Procedure Code

HCPCS code 84580 is the #9,215 most-billed Medicaid procedure code, with $209 in payments across 183 claims from 2018–2024. The national median cost per claim is $1.48. Costs vary widely — the 90th percentile is $4.31 per claim, 2.9× the median.

Total Paid

$209

0.00% of all spending

Total Claims

183

Providers

4

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 84580? Based on 4 providers billing this code nationally.

Median

$1.48

Average

$2.16

Std Dev

$2.19

Max

$5.30

Percentile Distribution (Cost per Claim)

p10
$0.57
p25
$0.83
Median
$1.48
p75
$2.82
p90
$4.31
p95
$4.81
p99
$5.20

50% of providers bill between $0.83 and $2.82 per claim for this code.

90% bill between $0.57 and $4.31.

Top 1% bill above $5.20.

About This Procedure

HCPCS code 84580 was billed by 4 providers across 183 claims, totaling $209 in Medicaid payments from 2018–2024. This code was used for 150 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.48

Providers Billing

4

National Spending

$209

Avg/Median Ratio

1.46×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.