85018
HCPCS Procedure Code
HCPCS code 85018 is the #668 most-billed Medicaid procedure code, with $109.9M in payments across 31.8M claims from 2018–2024. The national median cost per claim is $1.71.
Total Paid
$109.9M
0.01% of all spending
Total Claims
31.8M
Providers
14K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 85018? Based on 12K providers billing this code nationally.
Median
$1.71
Average
$4.32
Std Dev
$23.35
Max
$945.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.53 and $2.29 per claim for this code.
90% bill between $0.07 and $2.89.
Top 1% bill above $113.64.
About This Procedure
HCPCS code 85018 was billed by 14K providers across 31.8M claims, totaling $109.9M in Medicaid payments from 2018–2024. This code was used for 24.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.71
Providers Billing
12K
National Spending
$109.9M
Avg/Median Ratio
2.53×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 85018
| # | Provider | Total Paid |
|---|---|---|
| 1 | Texas Department Of State Health Austin, TX · Clinical Medical Laboratory | $1.6M |
| 2 | Renal Care Group Of The Southeast Inc. Pensacola, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $1.4M |
| 3 | 1609988450 | $1.1M |
| 4 | 1942293691 | $1.1M |
| 5 | 1790897551 | $1.1M |
| 6 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $1.0M |
| 7 | 1437168440 | $1.0M |
| 8 | 1356453195 | $1.0M |
| 9 | 1861504607 | $1.0M |
| 10 | 1811009665 | $971K |
| 11 | 1457449282 | $956K |
| 12 | 1619089463 | $930K |
| 13 | 1336251198 | $920K |
| 14 | 1801908652 | $896K |
| 15 | 1528170388 | $876K |
| 16 | 1083726822 | $868K |
| 17 | 1912372293 | $862K |
| 18 | 1376588046 | $860K |
| 19 | 1780771998 | $843K |
| 20 | 1891807657 | $824K |
Showing top 20 of 14K providers billing this code