85670
HCPCS Procedure Code
HCPCS code 85670 is the #4,863 most-billed Medicaid procedure code, with $369K in payments across 140K claims from 2018–2024. The national median cost per claim is $3.49. Costs vary widely — the 90th percentile is $7.92 per claim, 2.3× the median.
Total Paid
$369K
0.00% of all spending
Total Claims
140K
Providers
125
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 85670? Based on 119 providers billing this code nationally.
Median
$3.49
Average
$4.26
Std Dev
$5.08
Max
$40.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.37 and $4.81 per claim for this code.
90% bill between $0.52 and $7.92.
Top 1% bill above $25.75.
About This Procedure
HCPCS code 85670 was billed by 125 providers across 140K claims, totaling $369K in Medicaid payments from 2018–2024. This code was used for 130K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.49
Providers Billing
119
National Spending
$369K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 85670
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $115K |
| 2 | 1780655670 | $23K |
| 3 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $17K |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $14K |
| 5 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $14K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $13K |
| 7 | 1881697464 | $12K |
| 8 | 1134194038 | $8K |
| 9 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $7K |
| 10 | 1215914585 | $7K |
| 11 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $7K |
| 12 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $6K |
| 13 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $6K |
| 14 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $5K |
| 15 | A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory | $5K |
| 16 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $5K |
| 17 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $5K |
| 18 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $4K |
| 19 | 1598747651 | $4K |
| 20 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $4K |
Showing top 20 of 125 providers billing this code