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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891873303 | $604K |
| 2 | Permanente Medical Group Inc. Berkeley, CA · Clinical Medical Laboratory | $570K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $444K |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $257K |
| 5 | Montefiore Medical Center Bronx, NY · Anesthesiology | $253K |
| 6 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $234K |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $208K |
| 8 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $206K |
| 9 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $205K |
| 10 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $167K |
| 11 | 1447459805 | $153K |
| 12 | 1083713820 | $142K |
| 13 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $124K |
| 14 | 1689695934 | $121K |
| 15 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $113K |
| 16 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $109K |
| 17 | 1033535497 | $109K |
| 18 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $100K |
| 19 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $100K |
| 20 | 1164512851 | $93K |
Showing top 20 of 1K providers billing this code