#4821 of 11K

84105

HCPCS Procedure Code

HCPCS code 84105 is the #4,821 most-billed Medicaid procedure code, with $385K in payments across 152K claims from 2018–2024. The national median cost per claim is $2.31.

Total Paid

$385K

0.00% of all spending

Total Claims

152K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 84105? Based on 50 providers billing this code nationally.

Median

$2.31

Average

$2.46

Std Dev

$1.56

Max

$6.11

Percentile Distribution (Cost per Claim)

p10

$0.58

p25

$1.28

Median

$2.31

p75

$3.50

p90

$4.60

p95

$4.99

p99

$6.10

50% of providers bill between $1.28 and $3.50 per claim for this code.

90% bill between $0.58 and $4.60.

Top 1% bill above $6.10.

About This Procedure

HCPCS code 84105 was billed by 51 providers across 152K claims, totaling $385K in Medicaid payments from 2018–2024. This code was used for 125K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.31

Providers Billing

National Spending

$385K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84105

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1699849786	$246K	$2.86	1.2× median	Above Median
2	1083698534	$57K	$2.44	1.1× median	Above Median
3	1053304956	$20K	$1.63	0.7× median	Below Median
4	1912997354	$13K	$2.74	1.2× median	Above Median
5	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$8K	$2.67	1.2× median	Above Median
6	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$7K	$1.42	0.6× median	Below Median
7	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$6K	$2.91	1.3× median	Above Median
8	1891873303	$4K	$1.43	0.6× median	Below Median
9	1811997711	$4K	$3.15	1.4× median	Above Median
10	1104829159	$3K	$2.94	1.3× median	Above Median
11	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$3K	$2.19	0.9× median	Below Median
12	1558354456	$3K	$1.38	0.6× median	Below Median
13	1083249577	$2K	$4.58	2.0× median	Above 75th
14	1538570528	$2K	$3.06	1.3× median	Above Median
15	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$661	$1.45	0.6× median	Below Median
16	Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory	$610	$0.60	0.3× median	Below Median
17	Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory	$579	$3.25	1.4× median	Above Median
18	Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory	$569	$1.33	0.6× median	Below Median
19	Dx Solutions, Llc Nicholasville, KY · Clinical Medical Laboratory	$529	$1.26	0.5× median	Below Median
20	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$393	$1.27	0.5× median	Below Median

Showing top 20 of 51 providers billing this code

Related Procedures

84100$77.8M 84112$4.6M 84110$12K

← All procedures Top providers →