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#4637 of 11K

85732

HCPCS Procedure Code

HCPCS code 85732 is the #4,637 most-billed Medicaid procedure code, with $476K in payments across 141K claims from 2018–2024. The national median cost per claim is $4.26.

Total Paid

$476K

0.00% of all spending

Total Claims

141K

Providers

93

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 85732? Based on 92 providers billing this code nationally.

Median

$4.26

Average

$4.63

Std Dev

$3.17

Max

$16.44

Percentile Distribution (Cost per Claim)

p10
$1.43
p25
$2.35
Median
$4.26
p75
$6.00
p90
$7.33
p95
$10.02
p99
$15.59

50% of providers bill between $2.35 and $6.00 per claim for this code.

90% bill between $1.43 and $7.33.

Top 1% bill above $15.59.

About This Procedure

HCPCS code 85732 was billed by 93 providers across 141K claims, totaling $476K in Medicaid payments from 2018–2024. This code was used for 131K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.26

Providers Billing

92

National Spending

$476K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 85732

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$240K
2Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$37K
3Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$32K
4A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$18K
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$10K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$10K
71215030697$7K
8Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$7K
9Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$6K
10State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$6K
11Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$6K
12Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$5K
131073566246$5K
14Richard Bone

Chicago, IL · Internal Medicine, Gastroenterology

$5K
15Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$5K
161104829159$5K
17Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$5K
181053357244$4K
19University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$4K
20Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$4K

Showing top 20 of 93 providers billing this code

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