85635
HCPCS Procedure Code
HCPCS code 85635 is the #7,867 most-billed Medicaid procedure code, with $9K in payments across 1,350 claims from 2018–2024. The national median cost per claim is $7.31. Costs vary widely — the 90th percentile is $16.04 per claim, 2.2× the median.
Total Paid
$9K
0.00% of all spending
Total Claims
1,350
Providers
4
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 85635? Based on 4 providers billing this code nationally.
Median
$7.31
Average
$9.78
Std Dev
$6.55
Max
$19.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.12 and $10.98 per claim for this code.
90% bill between $5.49 and $16.04.
Top 1% bill above $19.08.
About This Procedure
HCPCS code 85635 was billed by 4 providers across 1,350 claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 935 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.31
Providers Billing
4
National Spending
$9K
Avg/Median Ratio
1.34×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.