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#4861 of 11K

85044

HCPCS Procedure Code

HCPCS code 85044 is the #4,861 most-billed Medicaid procedure code, with $369K in payments across 209K claims from 2018–2024. The national median cost per claim is $1.63. Costs vary widely — the 90th percentile is $4.66 per claim, 2.9× the median.

Total Paid

$369K

0.00% of all spending

Total Claims

209K

Providers

175

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 85044? Based on 159 providers billing this code nationally.

Median

$1.63

Average

$2.34

Std Dev

$3.57

Max

$40.08

Percentile Distribution (Cost per Claim)

p10
$0.18
p25
$0.53
Median
$1.63
p75
$3.33
p90
$4.66
p95
$5.60
p99
$10.22

50% of providers bill between $0.53 and $3.33 per claim for this code.

90% bill between $0.18 and $4.66.

Top 1% bill above $10.22.

About This Procedure

HCPCS code 85044 was billed by 175 providers across 209K claims, totaling $369K in Medicaid payments from 2018–2024. This code was used for 178K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.63

Providers Billing

159

National Spending

$369K

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 85044

#ProviderTotal Paid
11396794574$56K
2St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$51K
3Saint Peter's University Hospital

New Brunswick, NJ · General Acute Care Hospital

$19K
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$18K
5Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$15K
6Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$11K
71164402038$11K
8Stamford Hospital

Stamford, CT · Hospitalist

$10K
91649794157$9K
10Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$9K
111225041809$7K
121932208576$7K
131194740787$7K
141609983790$6K
15Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$6K
161285625996$6K
171477596583$6K
181861409823$6K
19Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$6K
20Trinitas Regional Medical Center

Elizabeth, NJ · General Acute Care Hospital

$5K

Showing top 20 of 175 providers billing this code