84425
HCPCS Procedure Code
HCPCS code 84425 is the #2,052 most-billed Medicaid procedure code, with $9.6M in payments across 957K claims from 2018–2024. The national median cost per claim is $11.39.
Total Paid
$9.6M
0.00% of all spending
Total Claims
957K
Providers
578
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 84425? Based on 549 providers billing this code nationally.
Median
$11.39
Average
$12.68
Std Dev
$9.40
Max
$78.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.84 and $15.86 per claim for this code.
90% bill between $4.24 and $19.85.
Top 1% bill above $55.27.
About This Procedure
HCPCS code 84425 was billed by 578 providers across 957K claims, totaling $9.6M in Medicaid payments from 2018–2024. This code was used for 915K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.39
Providers Billing
549
National Spending
$9.6M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84425
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $860K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $494K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $297K |
| 4 | 1447296272 | $295K |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $249K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $237K |
| 7 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $228K |
| 8 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $153K |
| 9 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $148K |
| 10 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $148K |
| 11 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $146K |
| 12 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $136K |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $134K |
| 14 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $134K |
| 15 | 1811997711 | $124K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $123K |
| 17 | 1376548271 | $109K |
| 18 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $103K |
| 19 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $99K |
| 20 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $97K |
Showing top 20 of 578 providers billing this code