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

#1269 of 11K

83021

HCPCS Procedure Code

HCPCS code 83021 is the #1,269 most-billed Medicaid procedure code, with $29.8M in payments across 2.7M claims from 2018–2024. The national median cost per claim is $12.07.

Total Paid

$29.8M

0.00% of all spending

Total Claims

2.7M

Providers

621

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 83021? Based on 580 providers billing this code nationally.

Median

$12.07

Average

$16.11

Std Dev

$28.11

Max

$518.44

Percentile Distribution (Cost per Claim)

p10
$2.60
p25
$6.08
Median
$12.07
p75
$17.05
p90
$22.96
p95
$47.29
p99
$113.44

50% of providers bill between $6.08 and $17.05 per claim for this code.

90% bill between $2.60 and $22.96.

Top 1% bill above $113.44.

About This Procedure

HCPCS code 83021 was billed by 621 providers across 2.7M claims, totaling $29.8M in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.07

Providers Billing

580

National Spending

$29.8M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83021

#ProviderTotal Paid
1State Of Alabama Department Of Public Health

Prattville, AL · Clinical Medical Laboratory

$4.3M
2Bureau Of Public Health Laboratories

Jacksonville, FL · Clinical Medical Laboratory

$4.1M
31942221098$3.2M
4Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1.7M
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.4M
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$779K
7Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$611K
8Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$529K
9Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$493K
101538570528$485K
11Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$457K
12Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$445K
131700913118$363K
14Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$315K
15Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$306K
161881697464$304K
17Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$256K
18Centers Lab Nj Llc

Cedar Knolls, NJ · Clinical Medical Laboratory

$241K
19Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$219K
20Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$213K

Showing top 20 of 621 providers billing this code