85014
HCPCS Procedure Code
HCPCS code 85014 is the #2,013 most-billed Medicaid procedure code, with $10.1M in payments across 5.8M claims from 2018–2024. The national median cost per claim is $1.38. Costs vary widely — the 90th percentile is $3.49 per claim, 2.5× the median.
Total Paid
$10.1M
0.00% of all spending
Total Claims
5.8M
Providers
3K
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 85014? Based on 3K providers billing this code nationally.
Median
$1.38
Average
$3.72
Std Dev
$17.99
Max
$330.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.47 and $2.27 per claim for this code.
90% bill between $0.12 and $3.49.
Top 1% bill above $60.75.
About This Procedure
HCPCS code 85014 was billed by 3K providers across 5.8M claims, totaling $10.1M in Medicaid payments from 2018–2024. This code was used for 4.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.38
Providers Billing
3K
National Spending
$10.1M
Avg/Median Ratio
2.70×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 85014
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891807640 | $450K |
| 2 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $302K |
| 3 | 1013238179 | $270K |
| 4 | Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical | $212K |
| 5 | 1083848980 | $210K |
| 6 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $197K |
| 7 | 1780874214 | $176K |
| 8 | 1396287082 | $124K |
| 9 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $115K |
| 10 | 1669472882 | $114K |
| 11 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $102K |
| 12 | 1043240682 | $100K |
| 13 | 1821520735 | $93K |
| 14 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $90K |
| 15 | 1154642932 | $86K |
| 16 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $82K |
| 17 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $82K |
| 18 | 1699756221 | $81K |
| 19 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $79K |
| 20 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $76K |
Showing top 20 of 3K providers billing this code