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#2336 of 11K

84207

HCPCS Procedure Code

HCPCS code 84207 is the #2,336 most-billed Medicaid procedure code, with $6.6M in payments across 471K claims from 2018–2024. The national median cost per claim is $16.96.

Total Paid

$6.6M

0.00% of all spending

Total Claims

471K

Providers

291

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 84207? Based on 275 providers billing this code nationally.

Median

$16.96

Average

$18.72

Std Dev

$12.59

Max

$76.12

Percentile Distribution (Cost per Claim)

p10
$5.53
p25
$10.63
Median
$16.96
p75
$24.26
p90
$31.18
p95
$44.23
p99
$70.35

50% of providers bill between $10.63 and $24.26 per claim for this code.

90% bill between $5.53 and $31.18.

Top 1% bill above $70.35.

About This Procedure

HCPCS code 84207 was billed by 291 providers across 471K claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 449K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.96

Providers Billing

275

National Spending

$6.6M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84207

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$840K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$553K
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$346K
4Ethos Holding Corp

Newport, KY · Clinical Medical Laboratory

$325K
5New York City Health And Hospitals Corporation

New York, NY · Internal Medicine

$261K
6Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$230K
7Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$213K
8Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$177K
91447296272$175K
10Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$152K
11Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$135K
12Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$97K
13Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$88K
141376548271$88K
15Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$87K
16Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$84K
17Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$79K
181861404121$71K
191811997711$71K
201710916945$67K

Showing top 20 of 291 providers billing this code