84478
HCPCS Procedure Code
HCPCS code 84478 is the #2,688 most-billed Medicaid procedure code, with $4.1M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $2.29. Costs vary widely — the 90th percentile is $5.82 per claim, 2.5× the median.
Total Paid
$4.1M
0.00% of all spending
Total Claims
2.6M
Providers
791
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 84478? Based on 700 providers billing this code nationally.
Median
$2.29
Average
$3.70
Std Dev
$7.88
Max
$143.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.91 and $4.72 per claim for this code.
90% bill between $0.28 and $5.82.
Top 1% bill above $30.76.
About This Procedure
HCPCS code 84478 was billed by 791 providers across 2.6M claims, totaling $4.1M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.29
Providers Billing
700
National Spending
$4.1M
Avg/Median Ratio
1.62×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 84478
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $1.1M |
| 2 | 1588712285 | $236K |
| 3 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $197K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $186K |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $165K |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $142K |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $101K |
| 8 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $83K |
| 9 | 1013292689 | $58K |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $58K |
| 11 | William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital | $47K |
| 12 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $47K |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $46K |
| 14 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $43K |
| 15 | 1316241102 | $41K |
| 16 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $40K |
| 17 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $39K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $36K |
| 19 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $34K |
| 20 | Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital | $33K |
Showing top 20 of 791 providers billing this code