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

#5410 of 11K

83497

HCPCS Procedure Code

HCPCS code 83497 is the #5,410 most-billed Medicaid procedure code, with $206K in payments across 37K claims from 2018–2024. The national median cost per claim is $6.89.

Total Paid

$206K

0.00% of all spending

Total Claims

37K

Providers

18

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 83497? Based on 18 providers billing this code nationally.

Median

$6.89

Average

$6.31

Std Dev

$3.17

Max

$11.79

Percentile Distribution (Cost per Claim)

p10
$1.40
p25
$4.76
Median
$6.89
p75
$8.12
p90
$10.04
p95
$10.91
p99
$11.61

50% of providers bill between $4.76 and $8.12 per claim for this code.

90% bill between $1.40 and $10.04.

Top 1% bill above $11.61.

About This Procedure

HCPCS code 83497 was billed by 18 providers across 37K claims, totaling $206K in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.89

Providers Billing

18

National Spending

$206K

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83497

#ProviderTotal Paid
1Ethos Holding Corp

Newport, KY · Clinical Medical Laboratory

$159K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$28K
31447296272$8K
41780620526$4K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$2K
61316983158$2K
71073591822$1K
81073587937$1K
9Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$318
10University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$243
11Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$192
12Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$177
131285011924$134
141891873303$102
15Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$83
16Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$79
17Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$73
18Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$57

Showing top 18 of 18 providers billing this code

Related Procedures