84999
HCPCS Procedure Code
HCPCS code 84999 is the #3,991 most-billed Medicaid procedure code, with $950K in payments across 75K claims from 2018–2024. The national median cost per claim is $5.23. Costs vary widely — the 90th percentile is $98.35 per claim, 18.8× the median.
Total Paid
$950K
0.00% of all spending
Total Claims
75K
Providers
67
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 84999? Based on 48 providers billing this code nationally.
Median
$5.23
Average
$34.81
Std Dev
$84.26
Max
$492.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.92 and $20.07 per claim for this code.
90% bill between $0.20 and $98.35.
Top 1% bill above $388.33.
About This Procedure
HCPCS code 84999 was billed by 67 providers across 75K claims, totaling $950K in Medicaid payments from 2018–2024. This code was used for 70K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.23
Providers Billing
48
National Spending
$950K
Avg/Median Ratio
6.66×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 84999
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1073642641 | $606K |
| 2 | 1215003603 | $102K |
| 3 | 1588663769 | $51K |
| 4 | 1063441293 | $39K |
| 5 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $18K |
| 6 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $18K |
| 7 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $17K |
| 8 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $17K |
| 9 | 1477616571 | $10K |
| 10 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $7K |
| 11 | 1679592380 | $6K |
| 12 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $6K |
| 13 | 1356324545 | $4K |
| 14 | Christus Santa Rosa Health Care Corporation San Antonio, TX · General Acute Care Hospital | $4K |
| 15 | 1861435042 | $4K |
| 16 | 1578560504 | $4K |
| 17 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $4K |
| 18 | 1427176569 | $4K |
| 19 | 1376564641 | $3K |
| 20 | 1396287082 | $3K |
Showing top 20 of 67 providers billing this code