85362
HCPCS Procedure Code
HCPCS code 85362 is the #6,512 most-billed Medicaid procedure code, with $60K in payments across 30K claims from 2018–2024. The national median cost per claim is $0.97. Costs vary widely — the 90th percentile is $4.42 per claim, 4.6× the median.
Total Paid
$60K
0.00% of all spending
Total Claims
30K
Providers
41
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 85362? Based on 38 providers billing this code nationally.
Median
$0.97
Average
$2.02
Std Dev
$3.74
Max
$21.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.64 and $1.41 per claim for this code.
90% bill between $0.31 and $4.42.
Top 1% bill above $17.22.
About This Procedure
HCPCS code 85362 was billed by 41 providers across 30K claims, totaling $60K in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.97
Providers Billing
38
National Spending
$60K
Avg/Median Ratio
2.08×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 85362
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447221742 | $18K |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $13K |
| 3 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $11K |
| 4 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $3K |
| 5 | 1700474608 | $2K |
| 6 | 1376564641 | $2K |
| 7 | 1942257191 | $2K |
| 8 | 1598760985 | $1K |
| 9 | 1821250762 | $1K |
| 10 | 1184618829 | $1K |
| 11 | 1184654923 | $1K |
| 12 | 1972582062 | $807 |
| 13 | 1699757369 | $460 |
| 14 | 1083712525 | $415 |
| 15 | 1730119553 | $358 |
| 16 | 1295797355 | $297 |
| 17 | 1912172024 | $142 |
| 18 | 1689635773 | $138 |
| 19 | 1487697215 | $131 |
| 20 | 1841220704 | $118 |
Showing top 20 of 41 providers billing this code