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#1275 of 11K

84155

HCPCS Procedure Code

HCPCS code 84155 is the #1,275 most-billed Medicaid procedure code, with $29.6M in payments across 7.1M claims from 2018–2024. The national median cost per claim is $0.60. Costs vary widely — the 90th percentile is $21.13 per claim, 35.2× the median.

Total Paid

$29.6M

0.00% of all spending

Total Claims

7.1M

Providers

3K

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 84155? Based on 2K providers billing this code nationally.

Median

$0.60

Average

$13.36

Std Dev

$41.80

Max

$592.35

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.10
Median
$0.60
p75
$2.29
p90
$21.13
p95
$119.20
p99
$188.85

50% of providers bill between $0.10 and $2.29 per claim for this code.

90% bill between $0.02 and $21.13.

Top 1% bill above $188.85.

About This Procedure

HCPCS code 84155 was billed by 3K providers across 7.1M claims, totaling $29.6M in Medicaid payments from 2018–2024. This code was used for 6.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.60

Providers Billing

2K

National Spending

$29.6M

Avg/Median Ratio

22.27×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 84155

#ProviderTotal Paid
11316127921$428K
21942293691$419K
31609988450$408K
41821520735$406K
51083726822$380K
6St Petersburg Kidney Care South Llc

St Petersburg, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment

$378K
71750493508$372K
81437168440$364K
91356453195$342K
101457449282$339K
111881706638$330K
121104268325$326K
131336251198$324K
141477665214$317K
151003162496$302K
161891807657$300K
171801908652$290K
181588065510$290K
191528242849$287K
20Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$286K

Showing top 20 of 3K providers billing this code