84585
HCPCS Procedure Code
HCPCS code 84585 is the #5,308 most-billed Medicaid procedure code, with $231K in payments across 36K claims from 2018–2024. The national median cost per claim is $8.65.
Total Paid
$231K
0.00% of all spending
Total Claims
36K
Providers
16
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 84585? Based on 15 providers billing this code nationally.
Median
$8.65
Average
$9.17
Std Dev
$6.91
Max
$27.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.62 and $11.16 per claim for this code.
90% bill between $1.91 and $16.48.
Top 1% bill above $26.10.
About This Procedure
HCPCS code 84585 was billed by 16 providers across 36K claims, totaling $231K in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.65
Providers Billing
15
National Spending
$231K
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84585
| # | Provider | Total Paid |
|---|---|---|
| 1 | Ethos Holding Corp Newport, KY · Clinical Medical Laboratory | $188K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $33K |
| 3 | 1316241102 | $2K |
| 4 | 1073591822 | $2K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $2K |
| 6 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $1K |
| 7 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $881 |
| 8 | 1073587937 | $713 |
| 9 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $677 |
| 10 | 1780620526 | $554 |
| 11 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $330 |
| 12 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $211 |
| 13 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $193 |
| 14 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $131 |
| 15 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $9 |
| 16 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $0 |
Showing top 16 of 16 providers billing this code