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#3067 of 11K

84590

HCPCS Procedure Code

HCPCS code 84590 is the #3,067 most-billed Medicaid procedure code, with $2.6M in payments across 417K claims from 2018–2024. The national median cost per claim is $7.54.

Total Paid

$2.6M

0.00% of all spending

Total Claims

417K

Providers

314

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 84590? Based on 306 providers billing this code nationally.

Median

$7.54

Average

$8.23

Std Dev

$5.65

Max

$48.47

Percentile Distribution (Cost per Claim)

p10
$1.80
p25
$5.08
Median
$7.54
p75
$10.33
p90
$14.09
p95
$18.50
p99
$28.08

50% of providers bill between $5.08 and $10.33 per claim for this code.

90% bill between $1.80 and $14.09.

Top 1% bill above $28.08.

About This Procedure

HCPCS code 84590 was billed by 314 providers across 417K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 400K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.54

Providers Billing

306

National Spending

$2.6M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84590

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$264K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$224K
31447296272$104K
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$101K
5New York City Health And Hospitals Corporation

New York, NY · Internal Medicine

$96K
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$78K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$64K
8Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$59K
9Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$52K
10Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$52K
11Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$43K
12Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$43K
13Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$40K
14Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$38K
15Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$37K
16Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$36K
17Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$33K
18Children's Hospital Corporation

Boston, MA · Clinic/Center

$32K
19Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$29K
20Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$29K

Showing top 20 of 314 providers billing this code