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#1706 of 11K

84270

HCPCS Procedure Code

HCPCS code 84270 is the #1,706 most-billed Medicaid procedure code, with $15.8M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $13.06.

Total Paid

$15.8M

0.00% of all spending

Total Claims

1.4M

Providers

637

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 84270? Based on 593 providers billing this code nationally.

Median

$13.06

Average

$13.12

Std Dev

$8.95

Max

$68.78

Percentile Distribution (Cost per Claim)

p10
$2.44
p25
$6.45
Median
$13.06
p75
$17.93
p90
$21.55
p95
$25.43
p99
$48.95

50% of providers bill between $6.45 and $17.93 per claim for this code.

90% bill between $2.44 and $21.55.

Top 1% bill above $48.95.

About This Procedure

HCPCS code 84270 was billed by 637 providers across 1.4M claims, totaling $15.8M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.06

Providers Billing

593

National Spending

$15.8M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84270

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1.8M
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$560K
31548538200$457K
4Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$395K
5Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$361K
6Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$349K
7Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$316K
8Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$302K
91235186800$286K
101548208440$279K
11Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$271K
121447296272$270K
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$255K
14Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$252K
15Tricore Reference Laboratories

Albuquerque, NM · Clinical Medical Laboratory

$248K
161316983158$236K
17Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$224K
18Tricore Inc.

Albuquerque, NM · Clinical Medical Laboratory

$213K
19Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$205K
201881697464$198K

Showing top 20 of 637 providers billing this code

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