85347
HCPCS Procedure Code
HCPCS code 85347 is the #4,162 most-billed Medicaid procedure code, with $795K in payments across 128K claims from 2018–2024. The national median cost per claim is $1.94. Costs vary widely — the 90th percentile is $10.14 per claim, 5.2× the median.
Total Paid
$795K
0.00% of all spending
Total Claims
128K
Providers
288
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 85347? Based on 250 providers billing this code nationally.
Median
$1.94
Average
$6.01
Std Dev
$20.99
Max
$267.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.62 and $3.66 per claim for this code.
90% bill between $0.13 and $10.14.
Top 1% bill above $85.46.
About This Procedure
HCPCS code 85347 was billed by 288 providers across 128K claims, totaling $795K in Medicaid payments from 2018–2024. This code was used for 84K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.94
Providers Billing
250
National Spending
$795K
Avg/Median Ratio
3.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 85347
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487868097 | $241K |
| 2 | 1154373843 | $118K |
| 3 | 1790775229 | $61K |
| 4 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $54K |
| 5 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $43K |
| 6 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $19K |
| 7 | 1629015698 | $17K |
| 8 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $16K |
| 9 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $12K |
| 10 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $12K |
| 11 | 1649726738 | $12K |
| 12 | 1316241102 | $10K |
| 13 | 1770693939 | $9K |
| 14 | 1922008150 | $9K |
| 15 | 1538244918 | $7K |
| 16 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $7K |
| 17 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $6K |
| 18 | 1699874248 | $6K |
| 19 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $5K |
| 20 | 1225033020 | $5K |
Showing top 20 of 288 providers billing this code