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#4162 of 11K

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)

p10
$0.13
p25
$0.62
Median
$1.94
p75
$3.66
p90
$10.14
p95
$19.93
p99
$85.46

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

#ProviderTotal Paid
11487868097$241K
21154373843$118K
31790775229$61K
4Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$54K
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$43K
6Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$19K
71629015698$17K
8Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$16K
9State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$12K
10Florida Clinical Practice Association Inc

Gainesville, FL · Surgery

$12K
111649726738$12K
121316241102$10K
131770693939$9K
141922008150$9K
151538244918$7K
16Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$7K
17St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$6K
181699874248$6K
19Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$5K
201225033020$5K

Showing top 20 of 288 providers billing this code

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