85384
HCPCS Procedure Code
HCPCS code 85384 is the #2,991 most-billed Medicaid procedure code, with $2.8M in payments across 850K claims from 2018–2024. The national median cost per claim is $2.89. Costs vary widely — the 90th percentile is $8.81 per claim, 3.0× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
850K
Providers
747
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 85384? Based on 695 providers billing this code nationally.
Median
$2.89
Average
$4.20
Std Dev
$5.63
Max
$66.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.15 and $5.41 per claim for this code.
90% bill between $0.40 and $8.81.
Top 1% bill above $25.25.
About This Procedure
HCPCS code 85384 was billed by 747 providers across 850K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 556K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.89
Providers Billing
695
National Spending
$2.8M
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 85384
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467586792 | $181K |
| 2 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $73K |
| 3 | 1588712285 | $73K |
| 4 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $63K |
| 5 | 1053334755 | $62K |
| 6 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $55K |
| 7 | 1922008150 | $52K |
| 8 | 1457354656 | $48K |
| 9 | 1235196510 | $47K |
| 10 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $41K |
| 11 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $40K |
| 12 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $39K |
| 13 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $38K |
| 14 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $37K |
| 15 | 1780667923 | $36K |
| 16 | 1316241102 | $35K |
| 17 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $35K |
| 18 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $33K |
| 19 | 1457343931 | $32K |
| 20 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $32K |
Showing top 20 of 747 providers billing this code