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#5638 of 11K

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)

p10
$0.02
p25
$0.07
Median
$0.23
p75
$0.76
p90
$2.25
p95
$5.19
p99
$12.30

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

#ProviderTotal Paid
1Niagara Falls Memorial Medical Center

Niagara Falls, NY · General Acute Care Hospital

$43K
21316995210$28K
3Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$16K
41366473183$16K
51013010917$6K
6Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$3K
71730106162$3K
81639179328$3K
91639209596$3K
101245365196$3K
111588712285$2K
121710917836$2K
131831284280$2K
141487739447$2K
151457354656$2K
161659372555$2K
171407813660$2K
18Kaiser Foundation Hospitals

Sacramento, CA · General Acute Care Hospital

$1K
19Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1K
20Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$1K

Showing top 20 of 208 providers billing this code