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#4536 of 11K

84597

HCPCS Procedure Code

HCPCS code 84597 is the #4,536 most-billed Medicaid procedure code, with $526K in payments across 70K claims from 2018–2024. The national median cost per claim is $8.31.

Total Paid

$526K

0.00% of all spending

Total Claims

70K

Providers

74

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 84597? Based on 71 providers billing this code nationally.

Median

$8.31

Average

$8.49

Std Dev

$4.13

Max

$21.84

Percentile Distribution (Cost per Claim)

p10
$3.06
p25
$6.61
Median
$8.31
p75
$10.54
p90
$12.75
p95
$15.81
p99
$19.70

50% of providers bill between $6.61 and $10.54 per claim for this code.

90% bill between $3.06 and $12.75.

Top 1% bill above $19.70.

About This Procedure

HCPCS code 84597 was billed by 74 providers across 70K claims, totaling $526K in Medicaid payments from 2018–2024. This code was used for 68K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.31

Providers Billing

71

National Spending

$526K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84597

#ProviderTotal Paid
1Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$111K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$69K
3Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$30K
4Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$24K
5Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$24K
6Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$22K
71700821808$21K
8Rochester General Hospital-lab

Rochester, NY · Clinical Medical Laboratory

$19K
9Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$18K
10Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$18K
11Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$16K
12Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$11K
131447296272$11K
14Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$11K
15Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$9K
161043293608$9K
17Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$8K
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$8K
191104560945$7K
201922103357$7K

Showing top 20 of 74 providers billing this code