85390
HCPCS Procedure Code
HCPCS code 85390 is the #3,200 most-billed Medicaid procedure code, with $2.2M in payments across 202K claims from 2018–2024. The national median cost per claim is $9.12. Costs vary widely — the 90th percentile is $27.78 per claim, 3.0× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
202K
Providers
162
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 85390? Based on 159 providers billing this code nationally.
Median
$9.12
Average
$12.83
Std Dev
$13.19
Max
$102.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.12 and $17.86 per claim for this code.
90% bill between $1.97 and $27.78.
Top 1% bill above $61.20.
About This Procedure
HCPCS code 85390 was billed by 162 providers across 202K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 143K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.12
Providers Billing
159
National Spending
$2.2M
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 85390
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487600334 | $314K |
| 2 | Montefiore Medical Center Bronx, NY · Anesthesiology | $186K |
| 3 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $167K |
| 4 | 1033535497 | $135K |
| 5 | 1801874573 | $117K |
| 6 | 1831218627 | $89K |
| 7 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $86K |
| 8 | 1073622544 | $77K |
| 9 | 1457389033 | $58K |
| 10 | 1326389826 | $56K |
| 11 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $51K |
| 12 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $47K |
| 13 | 1083675169 | $47K |
| 14 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $40K |
| 15 | 1336223635 | $39K |
| 16 | Yale University New Haven, CT · Internal Medicine | $38K |
| 17 | 1871101238 | $36K |
| 18 | Tricore Reference Laboratories Albuquerque, NM · Clinical Medical Laboratory | $34K |
| 19 | A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory | $31K |
| 20 | 1790732360 | $30K |
Showing top 20 of 162 providers billing this code