85048
HCPCS Procedure Code
HCPCS code 85048 is the #1,464 most-billed Medicaid procedure code, with $22.3M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $0.81. Costs vary widely — the 90th percentile is $116.96 per claim, 144.4× the median.
Total Paid
$22.3M
0.00% of all spending
Total Claims
1.7M
Providers
2K
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 85048? Based on 947 providers billing this code nationally.
Median
$0.81
Average
$25.24
Std Dev
$53.09
Max
$280.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.04 and $5.48 per claim for this code.
90% bill between $0.01 and $116.96.
Top 1% bill above $209.42.
About This Procedure
HCPCS code 85048 was billed by 2K providers across 1.7M claims, totaling $22.3M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.81
Providers Billing
947
National Spending
$22.3M
Avg/Median Ratio
31.16×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 85048
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003883125 | $559K |
| 2 | 1255308722 | $377K |
| 3 | 1154399491 | $365K |
| 4 | 1841268596 | $351K |
| 5 | 1942278270 | $337K |
| 6 | 1861749194 | $333K |
| 7 | 1285690248 | $331K |
| 8 | 1154799948 | $318K |
| 9 | 1942567839 | $315K |
| 10 | 1528036050 | $293K |
| 11 | 1538137799 | $289K |
| 12 | 1275771891 | $285K |
| 13 | 1316915077 | $249K |
| 14 | 1245208057 | $248K |
| 15 | 1356319859 | $247K |
| 16 | 1417258245 | $241K |
| 17 | 1043277015 | $241K |
| 18 | 1821065947 | $233K |
| 19 | 1639147259 | $232K |
| 20 | 1255579629 | $230K |
Showing top 20 of 2K providers billing this code