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#1818 of 11K

84165

HCPCS Procedure Code

HCPCS code 84165 is the #1,818 most-billed Medicaid procedure code, with $13.4M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $5.74. Costs vary widely — the 90th percentile is $12.74 per claim, 2.2× the median.

Total Paid

$13.4M

0.00% of all spending

Total Claims

2.1M

Providers

1K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 84165? Based on 1K providers billing this code nationally.

Median

$5.74

Average

$7.13

Std Dev

$9.88

Max

$229.92

Percentile Distribution (Cost per Claim)

p10
$1.69
p25
$3.33
Median
$5.74
p75
$9.02
p90
$12.74
p95
$15.21
p99
$28.50

50% of providers bill between $3.33 and $9.02 per claim for this code.

90% bill between $1.69 and $12.74.

Top 1% bill above $28.50.

About This Procedure

HCPCS code 84165 was billed by 1K providers across 2.1M claims, totaling $13.4M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.74

Providers Billing

1K

National Spending

$13.4M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84165

#ProviderTotal Paid
11891873303$604K
2Permanente Medical Group Inc.

Berkeley, CA · Clinical Medical Laboratory

$570K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$444K
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$257K
5Montefiore Medical Center

Bronx, NY · Anesthesiology

$253K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$234K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$208K
8The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$206K
9Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$205K
10Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$167K
111447459805$153K
121083713820$142K
13Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$124K
141689695934$121K
15William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$113K
16Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$109K
171033535497$109K
18Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$100K
19Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$100K
201164512851$93K

Showing top 20 of 1K providers billing this code