85009
HCPCS Procedure Code
HCPCS code 85009 is the #7,712 most-billed Medicaid procedure code, with $11K in payments across 10K claims from 2018–2024. The national median cost per claim is $1.00. Costs vary widely — the 90th percentile is $3.53 per claim, 3.5× the median.
Total Paid
$11K
0.00% of all spending
Total Claims
10K
Providers
11
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 85009? Based on 8 providers billing this code nationally.
Median
$1.00
Average
$1.40
Std Dev
$1.49
Max
$3.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.18 and $2.14 per claim for this code.
90% bill between $0.05 and $3.53.
Top 1% bill above $3.73.
About This Procedure
HCPCS code 85009 was billed by 11 providers across 10K claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.00
Providers Billing
8
National Spending
$11K
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 85009
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407813660 | $7K |
| 2 | 1467433763 | $2K |
| 3 | 1730209545 | $845 |
| 4 | 1043384829 | $701 |
| 5 | 1447345830 | $156 |
| 6 | 1972511632 | $74 |
| 7 | Valley Behavioral Health Incorporated Salt Lake City, UT · Psychiatry & Neurology Psychiatry | $67 |
| 8 | 1033281126 | $3 |
| 9 | 1952343444 | $0 |
| 10 | 1780730606 | $0 |
| 11 | 1528580727 | $0 |
Showing top 11 of 11 providers billing this code