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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $111K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $69K |
| 3 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $30K |
| 4 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $24K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $24K |
| 6 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $22K |
| 7 | 1700821808 | $21K |
| 8 | Rochester General Hospital-lab Rochester, NY · Clinical Medical Laboratory | $19K |
| 9 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $18K |
| 10 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $18K |
| 11 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $16K |
| 12 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $11K |
| 13 | 1447296272 | $11K |
| 14 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $11K |
| 15 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $9K |
| 16 | 1043293608 | $9K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $8K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $8K |
| 19 | 1104560945 | $7K |
| 20 | 1922103357 | $7K |
Showing top 20 of 74 providers billing this code