85002
HCPCS Procedure Code
HCPCS code 85002 is the #8,951 most-billed Medicaid procedure code, with $691 in payments across 312 claims from 2018–2024. The national median cost per claim is $3.30. Costs vary widely — the 90th percentile is $15.38 per claim, 4.7× the median.
Total Paid
$691
0.00% of all spending
Total Claims
312
Providers
6
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 85002? Based on 6 providers billing this code nationally.
Median
$3.30
Average
$6.48
Std Dev
$10.29
Max
$27.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.87 and $3.44 per claim for this code.
90% bill between $0.77 and $15.38.
Top 1% bill above $26.12.
About This Procedure
HCPCS code 85002 was billed by 6 providers across 312 claims, totaling $691 in Medicaid payments from 2018–2024. This code was used for 288 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.30
Providers Billing
6
National Spending
$691
Avg/Median Ratio
1.96×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 85002
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1699129601 | $464 |
| 2 | 1164402038 | $99 |
| 3 | 1538139662 | $45 |
| 4 | 1568405793 | $41 |
| 5 | 1174977557 | $24 |
| 6 | 1598760985 | $17 |
Showing top 6 of 6 providers billing this code