#2267 of 11K

84681

HCPCS Procedure Code

HCPCS code 84681 is the #2,267 most-billed Medicaid procedure code, with $7.2M in payments across 736K claims from 2018–2024. The national median cost per claim is $11.41.

Total Paid

$7.2M

0.00% of all spending

Total Claims

736K

Providers

406

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 84681? Based on 380 providers billing this code nationally.

Median

$11.41

Average

$13.26

Std Dev

$17.63

Max

$301.24

Percentile Distribution (Cost per Claim)

p10

$3.00

p25

$6.91

Median

$11.41

p75

$16.71

p90

$20.81

p95

$25.40

p99

$44.86

50% of providers bill between $6.91 and $16.71 per claim for this code.

90% bill between $3.00 and $20.81.

Top 1% bill above $44.86.

About This Procedure

HCPCS code 84681 was billed by 406 providers across 736K claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 690K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.41

Providers Billing

380

National Spending

$7.2M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84681

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$429K	$10.78	0.9× median	Below Median
2	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$417K	$12.40	1.1× median	Above Median
3	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$362K	$7.77	0.7× median	Below Median
4	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$326K	$11.87	1.0× median	Above Median
5	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$279K	$7.29	0.6× median	Below Median
6	1396826046	$214K	$14.05	1.2× median	Above Median
7	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$206K	$11.47	1.0× median	Above Median
8	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$193K	$8.11	0.7× median	Below Median
9	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$192K	$9.42	0.8× median	Below Median
10	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$183K	$8.40	0.7× median	Below Median
11	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$167K	$13.23	1.2× median	Above Median
12	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$165K	$10.68	0.9× median	Below Median
13	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$148K	$12.08	1.1× median	Above Median
14	1598934200	$139K	$19.31	1.7× median	Above 75th
15	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$130K	$16.25	1.4× median	Above Median
16	1881697464	$128K	$18.55	1.6× median	Above 75th
17	1780620526	$123K	$11.80	1.0× median	Above Median
18	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$114K	$9.15	0.8× median	Below Median
19	Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory	$104K	$12.63	1.1× median	Above Median
20	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$104K	$14.88	1.3× median	Above Median

Showing top 20 of 406 providers billing this code

← All procedures Top providers →