85008
HCPCS Procedure Code
HCPCS code 85008 is the #5,638 most-billed Medicaid procedure code, with $164K in payments across 222K claims from 2018–2024. The national median cost per claim is $0.23. Costs vary widely — the 90th percentile is $2.25 per claim, 9.8× the median.
Total Paid
$164K
0.00% of all spending
Total Claims
222K
Providers
208
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 85008? Based on 157 providers billing this code nationally.
Median
$0.23
Average
$1.18
Std Dev
$3.65
Max
$38.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.07 and $0.76 per claim for this code.
90% bill between $0.02 and $2.25.
Top 1% bill above $12.30.
About This Procedure
HCPCS code 85008 was billed by 208 providers across 222K claims, totaling $164K in Medicaid payments from 2018–2024. This code was used for 195K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.23
Providers Billing
157
National Spending
$164K
Avg/Median Ratio
5.13×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 85008
| # | Provider | Total Paid |
|---|---|---|
| 1 | Niagara Falls Memorial Medical Center Niagara Falls, NY · General Acute Care Hospital | $43K |
| 2 | 1316995210 | $28K |
| 3 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $16K |
| 4 | 1366473183 | $16K |
| 5 | 1013010917 | $6K |
| 6 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $3K |
| 7 | 1730106162 | $3K |
| 8 | 1639179328 | $3K |
| 9 | 1639209596 | $3K |
| 10 | 1245365196 | $3K |
| 11 | 1588712285 | $2K |
| 12 | 1710917836 | $2K |
| 13 | 1831284280 | $2K |
| 14 | 1487739447 | $2K |
| 15 | 1457354656 | $2K |
| 16 | 1659372555 | $2K |
| 17 | 1407813660 | $2K |
| 18 | Kaiser Foundation Hospitals Sacramento, CA · General Acute Care Hospital | $1K |
| 19 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1K |
| 20 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $1K |
Showing top 20 of 208 providers billing this code