85385
HCPCS Procedure Code
HCPCS code 85385 is the #6,357 most-billed Medicaid procedure code, with $72K in payments across 16K claims from 2018–2024. The national median cost per claim is $5.22.
Total Paid
$72K
0.00% of all spending
Total Claims
16K
Providers
22
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 85385? Based on 21 providers billing this code nationally.
Median
$5.22
Average
$4.69
Std Dev
$2.95
Max
$11.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.64 and $6.45 per claim for this code.
90% bill between $0.42 and $8.19.
Top 1% bill above $10.80.
About This Procedure
HCPCS code 85385 was billed by 22 providers across 16K claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.22
Providers Billing
21
National Spending
$72K
Avg/Median Ratio
0.90×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 85385
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1619376316 | $24K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $18K |
| 3 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $10K |
| 4 | 1922259753 | $8K |
| 5 | 1780620526 | $3K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $2K |
| 7 | 1780707703 | $1K |
| 8 | 1144680885 | $850 |
| 9 | 1063734739 | $649 |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $649 |
| 11 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $512 |
| 12 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $418 |
| 13 | 1598106163 | $376 |
| 14 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $303 |
| 15 | 1265418669 | $239 |
| 16 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $227 |
| 17 | 1629174248 | $145 |
| 18 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $121 |
| 19 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $64 |
| 20 | 1649726738 | $11 |
Showing top 20 of 22 providers billing this code