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#886 of 11K

83605

HCPCS Procedure Code

HCPCS code 83605 is the #886 most-billed Medicaid procedure code, with $63.2M in payments across 13.0M claims from 2018–2024. The national median cost per claim is $4.66. Costs vary widely — the 90th percentile is $13.80 per claim, 3.0× the median.

Total Paid

$63.2M

0.01% of all spending

Total Claims

13.0M

Providers

4K

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 83605? Based on 4K providers billing this code nationally.

Median

$4.66

Average

$7.06

Std Dev

$14.51

Max

$376.29

Percentile Distribution (Cost per Claim)

p10
$0.19
p25
$1.08
Median
$4.66
p75
$7.68
p90
$13.80
p95
$23.15
p99
$53.87

50% of providers bill between $1.08 and $7.68 per claim for this code.

90% bill between $0.19 and $13.80.

Top 1% bill above $53.87.

About This Procedure

HCPCS code 83605 was billed by 4K providers across 13.0M claims, totaling $63.2M in Medicaid payments from 2018–2024. This code was used for 10.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.66

Providers Billing

4K

National Spending

$63.2M

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 83605

#ProviderTotal Paid
1Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$2.5M
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$620K
3Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$616K
41750332565$399K
51386643294$381K
6The Miriam Hospital

Providence, RI · General Acute Care Hospital

$380K
71831188275$349K
8West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$344K
9Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$339K
10Integrated Regional Laboratories Pathology Services Llc

Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology

$327K
11The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$319K
121588712285$298K
13Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$297K
141639135221$293K
15Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$287K
161124090659$284K
17Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$280K
18Stanford Health Care

Stanford, CA · General Acute Care Hospital

$264K
19Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$258K
201922008150$248K

Showing top 20 of 4K providers billing this code

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