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#7712 of 11K

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)

p10
$0.05
p25
$0.18
Median
$1.00
p75
$2.14
p90
$3.53
p95
$3.64
p99
$3.73

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

#ProviderTotal Paid
11407813660$7K
21467433763$2K
31730209545$845
41043384829$701
51447345830$156
61972511632$74
7Valley Behavioral Health Incorporated

Salt Lake City, UT · Psychiatry & Neurology Psychiatry

$67
81033281126$3
91952343444$0
101780730606$0
111528580727$0

Showing top 11 of 11 providers billing this code