85652
HCPCS Procedure Code
HCPCS code 85652 is the #1,398 most-billed Medicaid procedure code, with $24.6M in payments across 14.1M claims from 2018–2024. The national median cost per claim is $1.68. Costs vary widely — the 90th percentile is $3.96 per claim, 2.4× the median.
Total Paid
$24.6M
0.00% of all spending
Total Claims
14.1M
Providers
3,314
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 85652? Based on 3,047 providers billing this code nationally.
Median
$1.68
Average
$2.67
Std Dev
$6.65
Max
$152.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.82 and $2.54 per claim for this code.
90% bill between $0.26 and $3.96.
Top 1% bill above $23.65.
About This Procedure
HCPCS code 85652 was billed by 3,314 providers across 14.1M claims, totaling $24.6M in Medicaid payments from 2018–2024. This code was used for 12.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.68
Providers Billing
3,047
National Spending
$24.6M
Avg/Median Ratio
1.59×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 85652
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.1M |
| 2 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $834K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $772K |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $617K |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $559K |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $445K |
| 7 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $437K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $350K |
| 9 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $304K |
| 10 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $264K |
| 11 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $255K |
| 12 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $253K |
| 13 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $239K |
| 14 | 1386643294 | $211K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $208K |
| 16 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $207K |
| 17 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $196K |
| 18 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $183K |
| 19 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $182K |
| 20 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $168K |
Showing top 20 of 3,314 providers billing this code