Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3328 of 11K

82128

HCPCS Procedure Code

HCPCS code 82128 is the #3,328 most-billed Medicaid procedure code, with $1.9M in payments across 492K claims from 2018–2024. The national median cost per claim is $3.90. Costs vary widely — the 90th percentile is $16.26 per claim, 4.2× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

492K

Providers

24

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 82128? Based on 23 providers billing this code nationally.

Median

$3.90

Average

$8.07

Std Dev

$7.69

Max

$28.60

Percentile Distribution (Cost per Claim)

p10
$2.40
p25
$2.56
Median
$3.90
p75
$11.56
p90
$16.26
p95
$24.58
p99
$27.91

50% of providers bill between $2.56 and $11.56 per claim for this code.

90% bill between $2.40 and $16.26.

Top 1% bill above $27.91.

About This Procedure

HCPCS code 82128 was billed by 24 providers across 492K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 326K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.90

Providers Billing

23

National Spending

$1.9M

Avg/Median Ratio

2.07×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 82128

#ProviderTotal Paid
1Bureau Of Public Health Laboratories

Jacksonville, FL · Clinical Medical Laboratory

$1.9M
21528019189$8K
31922055144$7K
41780684670$6K
51891743092$5K
61790722346$3K
71205896594$2K
81437102639$2K
91841299591$1K
101679578439$1K
111801809322$765
121881964955$663
131538169438$569
141487081279$559
151134172406$520
161053304956$490
171801852736$429
181285798918$172
191558313213$132
201467445361$66

Showing top 20 of 24 providers billing this code