#5248 of 11K

89055

HCPCS Procedure Code

HCPCS code 89055 is the #5,248 most-billed Medicaid procedure code, with $250K in payments across 126K claims from 2018–2024. The national median cost per claim is $2.77.

Total Paid

$250K

0.00% of all spending

Total Claims

126K

Providers

129

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 89055? Based on 123 providers billing this code nationally.

Median

$2.77

Average

$2.89

Std Dev

$1.68

Max

$10.76

Percentile Distribution (Cost per Claim)

p10

$1.10

p25

$1.72

Median

$2.77

p75

$3.64

p90

$4.60

p95

$5.40

p99

$8.01

50% of providers bill between $1.72 and $3.64 per claim for this code.

90% bill between $1.10 and $4.60.

Top 1% bill above $8.01.

About This Procedure

HCPCS code 89055 was billed by 129 providers across 126K claims, totaling $250K in Medicaid payments from 2018–2024. This code was used for 120K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.77

Providers Billing

123

National Spending

$250K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 89055

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$28K	$2.59	0.9× median	Below Median
2	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$27K	$1.83	0.7× median	Below Median
3	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$22K	$3.29	1.2× median	Above Median
4	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$19K	$1.44	0.5× median	Below Median
5	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$11K	$2.31	0.8× median	Below Median
6	1265418669	$9K	$3.19	1.2× median	Above Median
7	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$9K	$2.23	0.8× median	Below Median
8	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$9K	$2.35	0.8× median	Below Median
9	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$8K	$2.88	1.0× median	Above Median
10	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$7K	$2.73	1.0× median	Below Median
11	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$7K	$3.22	1.2× median	Above Median
12	Unilab Corporation Sacramento, CA · Clinical Medical Laboratory	$6K	$1.10	0.4× median	Below Median
13	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$6K	$2.04	0.7× median	Below Median
14	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$5K	$2.16	0.8× median	Below Median
15	1972588978	$5K	$2.42	0.9× median	Below Median
16	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$5K	$2.07	0.7× median	Below Median
17	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$4K	$2.45	0.9× median	Below Median
18	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$4K	$3.68	1.3× median	Above 75th
19	Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory	$3K	$1.12	0.4× median	Below Median
20	Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory	$3K	$0.57	0.2× median	Below Median

Showing top 20 of 129 providers billing this code

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