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#2539 of 11K

83986

HCPCS Procedure Code

HCPCS code 83986 is the #2,539 most-billed Medicaid procedure code, with $5.1M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $2.70.

Total Paid

$5.1M

0.00% of all spending

Total Claims

2.3M

Providers

831

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 83986? Based on 772 providers billing this code nationally.

Median

$2.70

Average

$3.91

Std Dev

$11.69

Max

$221.39

Percentile Distribution (Cost per Claim)

p10
$0.41
p25
$1.42
Median
$2.70
p75
$3.25
p90
$3.67
p95
$5.03
p99
$62.64

50% of providers bill between $1.42 and $3.25 per claim for this code.

90% bill between $0.41 and $3.67.

Top 1% bill above $62.64.

About This Procedure

HCPCS code 83986 was billed by 831 providers across 2.3M claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.70

Providers Billing

772

National Spending

$5.1M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83986

#ProviderTotal Paid
1Millennium Health Llc

San Diego, CA · Clinical Medical Laboratory

$450K
2Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$419K
31649726738$319K
4University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$245K
5Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$184K
6Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$145K
71699849786$142K
81609256122$118K
91285018523$96K
101700844339$89K
111043271539$68K
121336174325$56K
131033207766$45K
141477708469$39K
151689624686$38K
161629057146$37K
171083698534$36K
181851692560$35K
191073669040$33K
201982763090$33K

Showing top 20 of 831 providers billing this code