85027
Complete blood count (CBC), automated
Complete blood count (CBC), automated is the #473 most-billed Medicaid procedure code, with $198.5M in payments across 55.5M claims from 2018–2024. The national median cost per claim is $3.72. Costs vary widely — the 90th percentile is $8.56 per claim, 2.3× the median.
Total Paid
$198.5M
0.02% of all spending
Total Claims
55.5M
Providers
7K
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 85027? Based on 6K providers billing this code nationally.
Median
$3.72
Average
$6.08
Std Dev
$17.63
Max
$719.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.44 and $5.73 per claim for this code.
90% bill between $0.42 and $8.56.
Top 1% bill above $62.88.
About This Procedure
HCPCS code 85027 (Complete blood count (CBC), automated) was billed by 7K providers across 55.5M claims, totaling $198.5M in Medicaid payments from 2018–2024. This code was used for 44.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.72
Providers Billing
6K
National Spending
$198.5M
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 85027
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942247044 | $3.8M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $3.4M |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $3.3M |
| 4 | 1134187842 | $3.1M |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $3.1M |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $2.5M |
| 7 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $2.0M |
| 8 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $1.9M |
| 9 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $1.7M |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.6M |
| 11 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $1.5M |
| 12 | 1396287082 | $1.5M |
| 13 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $1.4M |
| 14 | 1063470763 | $1.4M |
| 15 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $1.4M |
| 16 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $1.3M |
| 17 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $1.2M |
| 18 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1.2M |
| 19 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $1.2M |
| 20 | 1629015698 | $1.1M |
Showing top 20 of 7K providers billing this code