85244
HCPCS Procedure Code
HCPCS code 85244 is the #6,015 most-billed Medicaid procedure code, with $106K in payments across 10K claims from 2018–2024. The national median cost per claim is $15.87.
Total Paid
$106K
0.00% of all spending
Total Claims
10K
Providers
16
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 85244? Based on 16 providers billing this code nationally.
Median
$15.87
Average
$14.25
Std Dev
$6.98
Max
$24.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.68 and $19.36 per claim for this code.
90% bill between $4.59 and $22.42.
Top 1% bill above $24.46.
About This Procedure
HCPCS code 85244 was billed by 16 providers across 10K claims, totaling $106K in Medicaid payments from 2018–2024. This code was used for 9,613 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.87
Providers Billing
16
National Spending
$106K
Avg/Median Ratio
0.90×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 85244
| # | Provider | Total Paid |
|---|---|---|
| 1 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $24K |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $19K |
| 3 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $13K |
| 4 | 1881697464 | $12K |
| 5 | University Of Rochester Rochester, NY · General Acute Care Hospital | $11K |
| 6 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $9K |
| 7 | 1073587937 | $6K |
| 8 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $6K |
| 9 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $3K |
| 10 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $2K |
| 11 | 1952613416 | $475 |
| 12 | William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital | $351 |
| 13 | Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital | $322 |
| 14 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $232 |
| 15 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $206 |
| 16 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $19 |
Showing top 16 of 16 providers billing this code