86000
HCPCS Procedure Code
HCPCS code 86000 is the #7,916 most-billed Medicaid procedure code, with $8K in payments across 2K claims from 2018–2024. The national median cost per claim is $3.85. Costs vary widely — the 90th percentile is $12.21 per claim, 3.2× the median.
Total Paid
$8K
0.00% of all spending
Total Claims
2K
Providers
9
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 86000? Based on 9 providers billing this code nationally.
Median
$3.85
Average
$7.51
Std Dev
$10.49
Max
$35.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.29 and $6.01 per claim for this code.
90% bill between $2.16 and $12.21.
Top 1% bill above $32.90.
About This Procedure
HCPCS code 86000 was billed by 9 providers across 2K claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.85
Providers Billing
9
National Spending
$8K
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86000
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134206386 | $2K |
| 2 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $2K |
| 3 | 1023439163 | $1K |
| 4 | 1073517058 | $1K |
| 5 | 1770529513 | $459 |
| 6 | 1235186800 | $369 |
| 7 | 1205928793 | $340 |
| 8 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $158 |
| 9 | 1588712285 | $56 |
Showing top 9 of 9 providers billing this code