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#2809 of 11K

84630

HCPCS Procedure Code

HCPCS code 84630 is the #2,809 most-billed Medicaid procedure code, with $3.5M in payments across 559K claims from 2018–2024. The national median cost per claim is $7.49.

Total Paid

$3.5M

0.00% of all spending

Total Claims

559K

Providers

399

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 84630? Based on 382 providers billing this code nationally.

Median

$7.49

Average

$8.01

Std Dev

$5.89

Max

$54.95

Percentile Distribution (Cost per Claim)

p10
$1.99
p25
$4.80
Median
$7.49
p75
$9.88
p90
$13.23
p95
$17.46
p99
$31.28

50% of providers bill between $4.80 and $9.88 per claim for this code.

90% bill between $1.99 and $13.23.

Top 1% bill above $31.28.

About This Procedure

HCPCS code 84630 was billed by 399 providers across 559K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 530K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.49

Providers Billing

382

National Spending

$3.5M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84630

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$306K
21225316482$126K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$115K
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$113K
5Summa Health System

Akron, OH · General Acute Care Hospital

$96K
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$93K
71447296272$80K
8Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$77K
9Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$76K
10Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$74K
11Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$67K
12Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$67K
131639278369$66K
14Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$53K
15Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$46K
161568403111$45K
17Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$45K
18Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$42K
191376548271$40K
20The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$39K

Showing top 20 of 399 providers billing this code