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

#5847 of 11K

84591

HCPCS Procedure Code

HCPCS code 84591 is the #5,847 most-billed Medicaid procedure code, with $129K in payments across 32K claims from 2018–2024. The national median cost per claim is $3.60. Costs vary widely — the 90th percentile is $10.29 per claim, 2.9× the median.

Total Paid

$129K

0.00% of all spending

Total Claims

32K

Providers

47

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 84591? Based on 43 providers billing this code nationally.

Median

$3.60

Average

$6.61

Std Dev

$14.30

Max

$93.92

Percentile Distribution (Cost per Claim)

p10
$1.04
p25
$1.83
Median
$3.60
p75
$5.48
p90
$10.29
p95
$15.89
p99
$63.76

50% of providers bill between $1.83 and $5.48 per claim for this code.

90% bill between $1.04 and $10.29.

Top 1% bill above $63.76.

About This Procedure

HCPCS code 84591 was billed by 47 providers across 32K claims, totaling $129K in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.60

Providers Billing

43

National Spending

$129K

Avg/Median Ratio

1.84×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 84591

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$30K
2Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$22K
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$15K
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$12K
51811997711$10K
61598713745$8K
7Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$4K
8Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$4K
9Berkshire Medical Center, Inc

Pittsfield, MA · General Acute Care Hospital

$3K
10Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$3K
11Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$2K
12Quest Diagnostics Incorporated

Las Vegas, NV · Clinical Medical Laboratory

$2K
131922043686$2K
14University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2K
151679513345$1K
161104828383$1K
17Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1K
181447296272$961
19Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$684
20Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$655

Showing top 20 of 47 providers billing this code