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#2991 of 11K

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)

p10
$0.40
p25
$1.15
Median
$2.89
p75
$5.41
p90
$8.81
p95
$11.22
p99
$25.25

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

#ProviderTotal Paid
11467586792$181K
2Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$73K
31588712285$73K
4Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$63K
51053334755$62K
6Florida Clinical Practice Association Inc

Gainesville, FL · Surgery

$55K
71922008150$52K
81457354656$48K
91235196510$47K
10Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$41K
11Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$40K
12Stanford Health Care

Stanford, CA · General Acute Care Hospital

$39K
13Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$38K
14Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$37K
151780667923$36K
161316241102$35K
17Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$35K
18Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$33K
191457343931$32K
20Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$32K

Showing top 20 of 747 providers billing this code