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#3413 of 11K

84166

HCPCS Procedure Code

HCPCS code 84166 is the #3,413 most-billed Medicaid procedure code, with $1.7M in payments across 232K claims from 2018–2024. The national median cost per claim is $7.83.

Total Paid

$1.7M

0.00% of all spending

Total Claims

232K

Providers

257

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 84166? Based on 249 providers billing this code nationally.

Median

$7.83

Average

$9.10

Std Dev

$8.36

Max

$78.28

Percentile Distribution (Cost per Claim)

p10
$2.78
p25
$4.91
Median
$7.83
p75
$11.14
p90
$15.50
p95
$17.06
p99
$44.44

50% of providers bill between $4.91 and $11.14 per claim for this code.

90% bill between $2.78 and $15.50.

Top 1% bill above $44.44.

About This Procedure

HCPCS code 84166 was billed by 257 providers across 232K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 214K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.83

Providers Billing

249

National Spending

$1.7M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84166

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$134K
2Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$88K
3Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$79K
41891873303$71K
5Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$66K
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$63K
7Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$61K
8Montefiore Medical Center

Bronx, NY · Anesthesiology

$40K
91871606269$35K
10The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$33K
11Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$31K
12Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$28K
131508890468$28K
14Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$28K
15Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$27K
161457308637$26K
17Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$26K
18A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$25K
19Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$25K
20Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$24K

Showing top 20 of 257 providers billing this code