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#5645 of 11K

84235

HCPCS Procedure Code

HCPCS code 84235 is the #5,645 most-billed Medicaid procedure code, with $162K in payments across 3K claims from 2018–2024. The national median cost per claim is $41.30.

Total Paid

$162K

0.00% of all spending

Total Claims

3K

Providers

9

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for 84235? Based on 9 providers billing this code nationally.

Median

$41.30

Average

$45.53

Std Dev

$16.33

Max

$69.73

Percentile Distribution (Cost per Claim)

p10
$29.15
p25
$33.75
Median
$41.30
p75
$61.11
p90
$64.20
p95
$66.97
p99
$69.17

50% of providers bill between $33.75 and $61.11 per claim for this code.

90% bill between $29.15 and $64.20.

Top 1% bill above $69.17.

About This Procedure

HCPCS code 84235 was billed by 9 providers across 3K claims, totaling $162K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.30

Providers Billing

9

National Spending

$162K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84235

#ProviderTotal Paid
1Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$142K
21063616613$9K
31760628184$4K
4New York City Health And Hospitals Corporation

Brooklyn, NY · Internal Medicine

$3K
51700512365$1K
6Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$1K
7Multicare Health System

Tacoma, WA · Community/Behavioral Health

$650
81700886322$630
9The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$432

Showing top 9 of 9 providers billing this code