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#3297 of 11K

82016

HCPCS Procedure Code

HCPCS code 82016 is the #3,297 most-billed Medicaid procedure code, with $2.0M in payments across 490K claims from 2018–2024. The national median cost per claim is $4.01. Costs vary widely — the 90th percentile is $20.23 per claim, 5.0× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

490K

Providers

21

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 82016? Based on 20 providers billing this code nationally.

Median

$4.01

Average

$8.98

Std Dev

$9.45

Max

$34.00

Percentile Distribution (Cost per Claim)

p10
$2.25
p25
$2.49
Median
$4.01
p75
$13.52
p90
$20.23
p95
$28.75
p99
$32.95

50% of providers bill between $2.49 and $13.52 per claim for this code.

90% bill between $2.25 and $20.23.

Top 1% bill above $32.95.

About This Procedure

HCPCS code 82016 was billed by 21 providers across 490K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 324K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.01

Providers Billing

20

National Spending

$2.0M

Avg/Median Ratio

2.24×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 82016

#ProviderTotal Paid
1Bureau Of Public Health Laboratories

Jacksonville, FL · Clinical Medical Laboratory

$2.0M
21528019189$10K
31780684670$7K
41790722346$3K
51437102639$2K
6State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$2K
71205928793$1K
81679578439$1K
91841299591$1K
101487081279$665
111801809322$607
121134172406$575
131801852736$510
141053304956$464
151538169438$270
161285798918$204
171558313213$153
181417177841$70
191467445361$59
201487764890$38

Showing top 20 of 21 providers billing this code