82542
HCPCS Procedure Code
HCPCS code 82542 is the #1,901 most-billed Medicaid procedure code, with $12.0M in payments across 875K claims from 2018–2024. The national median cost per claim is $10.90. Costs vary widely — the 90th percentile is $28.26 per claim, 2.6× the median.
Total Paid
$12.0M
0.00% of all spending
Total Claims
875K
Providers
252
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 82542? Based on 229 providers billing this code nationally.
Median
$10.90
Average
$14.90
Std Dev
$17.89
Max
$149.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.02 and $18.07 per claim for this code.
90% bill between $1.16 and $28.26.
Top 1% bill above $71.67.
About This Procedure
HCPCS code 82542 was billed by 252 providers across 875K claims, totaling $12.0M in Medicaid payments from 2018–2024. This code was used for 635K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.90
Providers Billing
229
National Spending
$12.0M
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 82542
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093136418 | $4.3M |
| 2 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $2.0M |
| 3 | 1003257650 | $850K |
| 4 | 1871960195 | $486K |
| 5 | Ethos Holding Corp Newport, KY · Clinical Medical Laboratory | $360K |
| 6 | 1609273317 | $310K |
| 7 | 1629144050 | $202K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $200K |
| 9 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $181K |
| 10 | 1467852350 | $163K |
| 11 | 1780620526 | $163K |
| 12 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $141K |
| 13 | 1154674042 | $134K |
| 14 | 1215205539 | $105K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $100K |
| 16 | 1073642641 | $83K |
| 17 | 1316983158 | $81K |
| 18 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $67K |
| 19 | 1063734739 | $63K |
| 20 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $61K |
Showing top 20 of 252 providers billing this code