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

#2825 of 11K

82172

HCPCS Procedure Code

HCPCS code 82172 is the #2,825 most-billed Medicaid procedure code, with $3.5M in payments across 453K claims from 2018–2024. The national median cost per claim is $10.86.

Total Paid

$3.5M

0.00% of all spending

Total Claims

453K

Providers

327

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 82172? Based on 295 providers billing this code nationally.

Median

$10.86

Average

$11.95

Std Dev

$10.19

Max

$86.38

Percentile Distribution (Cost per Claim)

p10
$1.82
p25
$5.18
Median
$10.86
p75
$15.56
p90
$20.87
p95
$28.64
p99
$49.45

50% of providers bill between $5.18 and $15.56 per claim for this code.

90% bill between $1.82 and $20.87.

Top 1% bill above $49.45.

About This Procedure

HCPCS code 82172 was billed by 327 providers across 453K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 412K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.86

Providers Billing

295

National Spending

$3.5M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82172

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$508K
2Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$235K
3Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$188K
41780620526$155K
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$123K
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$101K
7Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$87K
8Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$85K
91689971822$81K
101063734739$79K
111922259753$76K
121619376316$70K
13Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$63K
14Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$53K
15Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$52K
161811226749$51K
17Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$48K
181609869916$45K
191992176655$42K
20Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$38K

Showing top 20 of 327 providers billing this code