84252
HCPCS Procedure Code
HCPCS code 84252 is the #3,988 most-billed Medicaid procedure code, with $956K in payments across 94K claims from 2018–2024. The national median cost per claim is $8.97. Costs vary widely — the 90th percentile is $35.66 per claim, 4.0× the median.
Total Paid
$956K
0.00% of all spending
Total Claims
94K
Providers
73
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 84252? Based on 71 providers billing this code nationally.
Median
$8.97
Average
$13.19
Std Dev
$12.81
Max
$64.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.96 and $13.46 per claim for this code.
90% bill between $2.76 and $35.66.
Top 1% bill above $55.37.
About This Procedure
HCPCS code 84252 was billed by 73 providers across 94K claims, totaling $956K in Medicaid payments from 2018–2024. This code was used for 90K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.97
Providers Billing
71
National Spending
$956K
Avg/Median Ratio
1.47×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84252
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $435K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $51K |
| 3 | 1568403111 | $50K |
| 4 | 1861404121 | $40K |
| 5 | 1811997711 | $37K |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $33K |
| 7 | 1225434558 | $29K |
| 8 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $29K |
| 9 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $24K |
| 10 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $21K |
| 11 | 1013332014 | $21K |
| 12 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $17K |
| 13 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $13K |
| 14 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $13K |
| 15 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $13K |
| 16 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $12K |
| 17 | 1407114002 | $9K |
| 18 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $8K |
| 19 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $8K |
| 20 | 1316905540 | $7K |
Showing top 20 of 73 providers billing this code