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

#3815 of 11K

82164

HCPCS Procedure Code

HCPCS code 82164 is the #3,815 most-billed Medicaid procedure code, with $1.1M in payments across 162K claims from 2018–2024. The national median cost per claim is $8.64.

Total Paid

$1.1M

0.00% of all spending

Total Claims

162K

Providers

144

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 82164? Based on 140 providers billing this code nationally.

Median

$8.64

Average

$10.11

Std Dev

$8.08

Max

$51.79

Percentile Distribution (Cost per Claim)

p10
$2.77
p25
$5.53
Median
$8.64
p75
$12.24
p90
$17.22
p95
$27.74
p99
$41.53

50% of providers bill between $5.53 and $12.24 per claim for this code.

90% bill between $2.77 and $17.22.

Top 1% bill above $41.53.

About This Procedure

HCPCS code 82164 was billed by 144 providers across 162K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 154K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.64

Providers Billing

140

National Spending

$1.1M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82164

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$215K
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$80K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$70K
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$64K
5Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$48K
6Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$37K
7Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$32K
81447296272$31K
9Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$30K
10Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$29K
111376548271$26K
12Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$25K
13Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$22K
14Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$22K
15Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$19K
16Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$17K
17Permanente Medical Group Inc.

Berkeley, CA · Clinical Medical Laboratory

$16K
18Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$16K
19Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$16K
20Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$15K

Showing top 20 of 144 providers billing this code