85379
HCPCS Procedure Code
HCPCS code 85379 is the #1,415 most-billed Medicaid procedure code, with $23.9M in payments across 5.2M claims from 2018–2024. The national median cost per claim is $4.29. Costs vary widely — the 90th percentile is $10.91 per claim, 2.5× the median.
Total Paid
$23.9M
0.00% of all spending
Total Claims
5.2M
Providers
3,271
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 85379? Based on 3,079 providers billing this code nationally.
Median
$4.29
Average
$6.45
Std Dev
$11.15
Max
$160.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.25 and $7.50 per claim for this code.
90% bill between $0.36 and $10.91.
Top 1% bill above $55.35.
About This Procedure
HCPCS code 85379 was billed by 3,271 providers across 5.2M claims, totaling $23.9M in Medicaid payments from 2018–2024. This code was used for 4.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.29
Providers Billing
3,079
National Spending
$23.9M
Avg/Median Ratio
1.50×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 85379
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $247K |
| 2 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $203K |
| 3 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $203K |
| 4 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $171K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $154K |
| 6 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $147K |
| 7 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $147K |
| 8 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $146K |
| 9 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $145K |
| 10 | 1144664954 | $140K |
| 11 | 1891075446 | $135K |
| 12 | 1710109186 | $130K |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $129K |
| 14 | Sharp Chula Vista Medical Center Chula Vista, CA · General Acute Care Hospital | $127K |
| 15 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $119K |
| 16 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $113K |
| 17 | 1013954437 | $110K |
| 18 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $109K |
| 19 | 1598736159 | $108K |
| 20 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $108K |
Showing top 20 of 3,271 providers billing this code