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#6627 of 11K

85370

HCPCS Procedure Code

HCPCS code 85370 is the #6,627 most-billed Medicaid procedure code, with $51K in payments across 2,907 claims from 2018–2024. The national median cost per claim is $9.14.

Total Paid

$51K

0.00% of all spending

Total Claims

2,907

Providers

3

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 85370? Based on 3 providers billing this code nationally.

Median

$9.14

Average

$9.34

Std Dev

$8.26

Max

$17.70

Percentile Distribution (Cost per Claim)

p10
$2.77
p25
$5.16
Median
$9.14
p75
$13.42
p90
$15.99
p95
$16.85
p99
$17.53

50% of providers bill between $5.16 and $13.42 per claim for this code.

90% bill between $2.77 and $15.99.

Top 1% bill above $17.53.

About This Procedure

HCPCS code 85370 was billed by 3 providers across 2,907 claims, totaling $51K in Medicaid payments from 2018–2024. This code was used for 2,771 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.14

Providers Billing

3

National Spending

$51K

Avg/Median Ratio

1.02×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.