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#1398 of 11K

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)

p10
$0.26
p25
$0.82
Median
$1.68
p75
$2.54
p90
$3.96
p95
$6.85
p99
$23.65

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

#ProviderTotal Paid
1Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1.1M
2The Children's Mercy Hospital

Kansas City, MO · General Acute Care Hospital Children

$834K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$772K
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$617K
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$559K
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$445K
7Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$437K
8Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$350K
9Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$304K
10Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$264K
11Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$255K
12Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$253K
13Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$239K
141386643294$211K
15Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$208K
16Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$207K
17Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$196K
18West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$183K
19Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$182K
20Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$168K

Showing top 20 of 3,314 providers billing this code

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