83516
HCPCS Procedure Code
HCPCS code 83516 is the #1,241 most-billed Medicaid procedure code, with $31.7M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $9.72. Costs vary widely — the 90th percentile is $26.14 per claim, 2.7× the median.
Total Paid
$31.7M
0.00% of all spending
Total Claims
3.3M
Providers
1K
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 83516? Based on 1K providers billing this code nationally.
Median
$9.72
Average
$13.43
Std Dev
$19.74
Max
$363.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.62 and $15.13 per claim for this code.
90% bill between $2.19 and $26.14.
Top 1% bill above $72.10.
About This Procedure
HCPCS code 83516 was billed by 1K providers across 3.3M claims, totaling $31.7M in Medicaid payments from 2018–2024. This code was used for 2.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.72
Providers Billing
1K
National Spending
$31.7M
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 83516
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2.0M |
| 2 | 1942221098 | $2.0M |
| 3 | 1477670529 | $1.6M |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $995K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $729K |
| 6 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $721K |
| 7 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $597K |
| 8 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $526K |
| 9 | 1881697464 | $424K |
| 10 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $412K |
| 11 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $372K |
| 12 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $369K |
| 13 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $352K |
| 14 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $342K |
| 15 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $322K |
| 16 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $319K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $303K |
| 18 | Permanente Medical Group Inc. Berkeley, CA · Clinical Medical Laboratory | $296K |
| 19 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $281K |
| 20 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $272K |
Showing top 20 of 1K providers billing this code