85247
HCPCS Procedure Code
HCPCS code 85247 is the #4,437 most-billed Medicaid procedure code, with $592K in payments across 54K claims from 2018–2024. The national median cost per claim is $13.19. Costs vary widely — the 90th percentile is $31.17 per claim, 2.4× the median.
Total Paid
$592K
0.00% of all spending
Total Claims
54K
Providers
63
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 85247? Based on 62 providers billing this code nationally.
Median
$13.19
Average
$15.02
Std Dev
$11.83
Max
$65.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.59 and $18.76 per claim for this code.
90% bill between $3.41 and $31.17.
Top 1% bill above $57.36.
About This Procedure
HCPCS code 85247 was billed by 63 providers across 54K claims, totaling $592K in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.19
Providers Billing
62
National Spending
$592K
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 85247
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $68K |
| 2 | 1447296272 | $64K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $61K |
| 4 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $49K |
| 5 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $45K |
| 6 | 1780620526 | $31K |
| 7 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $23K |
| 8 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $21K |
| 9 | 1891731626 | $20K |
| 10 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $18K |
| 11 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $18K |
| 12 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $16K |
| 13 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $16K |
| 14 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $15K |
| 15 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $13K |
| 16 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $12K |
| 17 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $10K |
| 18 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $10K |
| 19 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $8K |
| 20 | 1891873303 | $8K |
Showing top 20 of 63 providers billing this code