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#494 of 11K

0821

Revenue code, other laboratory services

Revenue code, other laboratory services is the #494 most-billed Medicaid procedure code, with $185.3M in payments across 460K claims from 2018–2024. The national median cost per claim is $864.26. Costs vary widely — the 90th percentile is $1,757.25 per claim, 2.0× the median.

Total Paid

$185.3M

0.02% of all spending

Total Claims

460K

Providers

121

Avg Cost/Claim

$403

National Cost Distribution

How much do providers bill per claim for 0821? Based on 104 providers billing this code nationally.

Median

$864.26

Average

$790.91

Std Dev

$642.94

Max

$2,337.10

Percentile Distribution (Cost per Claim)

p10
$122.66
p25
$141.29
Median
$864.26
p75
$1,102.29
p90
$1,757.25
p95
$1,924.18
p99
$2,258.59

50% of providers bill between $141.29 and $1,102.29 per claim for this code.

90% bill between $122.66 and $1,757.25.

Top 1% bill above $2,258.59.

About This Procedure

HCPCS code 0821 (Revenue code, other laboratory services) was billed by 121 providers across 460K claims, totaling $185.3M in Medicaid payments from 2018–2024. This code was used for 72K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$864.26

Providers Billing

104

National Spending

$185.3M

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0821

#ProviderTotal Paid
11235594656$12.4M
21962461418$7.5M
31902869035$6.7M
41386779270$6.2M
51700845278$4.9M
61073576153$4.8M
71659780120$4.7M
81013981984$4.5M
91124261854$4.5M
101720041908$4.4M
111700845286$4.3M
121770618571$4.2M
131639132772$4.2M
141073587986$3.9M
151841547460$3.9M
161003879081$3.8M
171730190331$3.7M
181154384121$3.7M
191376502831$3.5M
201922061944$3.4M

Showing top 20 of 121 providers billing this code