84100
HCPCS Procedure Code
HCPCS code 84100 is the #798 most-billed Medicaid procedure code, with $77.8M in payments across 21.0M claims from 2018–2024. The national median cost per claim is $1.34. Costs vary widely — the 90th percentile is $6.00 per claim, 4.5× the median.
Total Paid
$77.8M
0.01% of all spending
Total Claims
21.0M
Providers
6K
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 84100? Based on 5K providers billing this code nationally.
Median
$1.34
Average
$8.22
Std Dev
$30.09
Max
$445.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.30 and $3.23 per claim for this code.
90% bill between $0.05 and $6.00.
Top 1% bill above $168.22.
About This Procedure
HCPCS code 84100 was billed by 6K providers across 21.0M claims, totaling $77.8M in Medicaid payments from 2018–2024. This code was used for 13.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.34
Providers Billing
5K
National Spending
$77.8M
Avg/Median Ratio
6.13×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 84100
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013332014 | $969K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $929K |
| 3 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $885K |
| 4 | 1245720820 | $804K |
| 5 | 1952333205 | $734K |
| 6 | 1437168440 | $731K |
| 7 | 1942293691 | $728K |
| 8 | 1336251198 | $634K |
| 9 | 1821520735 | $628K |
| 10 | 1225436199 | $621K |
| 11 | 1083848980 | $597K |
| 12 | 1376588046 | $578K |
| 13 | 1346522679 | $560K |
| 14 | 1609988450 | $541K |
| 15 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $537K |
| 16 | 1366687055 | $525K |
| 17 | 1285029264 | $506K |
| 18 | 1053423806 | $503K |
| 19 | 1386643294 | $489K |
| 20 | 1790897551 | $470K |
Showing top 20 of 6K providers billing this code