85025
Complete blood count (CBC) with differential, automated
Complete blood count (CBC) with differential, automated is the #145 most-billed Medicaid procedure code, with $1.27B in payments across 276.1M claims from 2018–2024. The national median cost per claim is $4.71. Costs vary widely — the 90th percentile is $9.62 per claim, 2.0× the median.
Total Paid
$1.27B
0.12% of all spending
Total Claims
276.1M
Providers
18K
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 85025? Based on 15K providers billing this code nationally.
Median
$4.71
Average
$8.35
Std Dev
$31.82
Max
$1,768.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.58 and $6.94 per claim for this code.
90% bill between $0.31 and $9.62.
Top 1% bill above $115.83.
About This Procedure
HCPCS code 85025 (Complete blood count (CBC) with differential, automated) was billed by 18K providers across 276.1M claims, totaling $1.27B in Medicaid payments from 2018–2024. This code was used for 227.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.71
Providers Billing
15K
National Spending
$1.27B
Avg/Median Ratio
1.77×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 85025
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $18.6M |
| 2 | Florida Cancer Specialists & Research Institute Llc Cape Coral, FL · Internal Medicine Medical Oncology | $18.1M |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $17.1M |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $16.3M |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $10.2M |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $9.5M |
| 7 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $8.3M |
| 8 | Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital | $8.0M |
| 9 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $7.8M |
| 10 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $7.1M |
| 11 | 1093740128 | $6.9M |
| 12 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $6.4M |
| 13 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $5.5M |
| 14 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $5.2M |
| 15 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $5.1M |
| 16 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $4.5M |
| 17 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $4.3M |
| 18 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $4.3M |
| 19 | 1578504056 | $4.3M |
| 20 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $4.3M |
Showing top 20 of 18K providers billing this code