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#7825 of 11K

84586

HCPCS Procedure Code

HCPCS code 84586 is the #7,825 most-billed Medicaid procedure code, with $10K in payments across 549 claims from 2018–2024. The national median cost per claim is $22.84.

Total Paid

$10K

0.00% of all spending

Total Claims

549

Providers

3

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 84586? Based on 3 providers billing this code nationally.

Median

$22.84

Average

$23.11

Std Dev

$7.16

Max

$30.40

Percentile Distribution (Cost per Claim)

p10
$17.44
p25
$19.46
Median
$22.84
p75
$26.62
p90
$28.89
p95
$29.64
p99
$30.25

50% of providers bill between $19.46 and $26.62 per claim for this code.

90% bill between $17.44 and $28.89.

Top 1% bill above $30.25.

About This Procedure

HCPCS code 84586 was billed by 3 providers across 549 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 507 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.84

Providers Billing

3

National Spending

$10K

Avg/Median Ratio

1.01×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.