86015
HCPCS Procedure Code
HCPCS code 86015 is the #3,715 most-billed Medicaid procedure code, with $1.3M in payments across 201K claims from 2018–2024. The national median cost per claim is $7.08.
Total Paid
$1.3M
0.00% of all spending
Total Claims
201K
Providers
159
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 86015? Based on 148 providers billing this code nationally.
Median
$7.08
Average
$8.03
Std Dev
$8.89
Max
$100.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.43 and $9.54 per claim for this code.
90% bill between $2.26 and $12.58.
Top 1% bill above $27.85.
About This Procedure
HCPCS code 86015 was billed by 159 providers across 201K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 190K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.08
Providers Billing
148
National Spending
$1.3M
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86015
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $156K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $122K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $114K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $80K |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $58K |
| 6 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $52K |
| 7 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $51K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $42K |
| 9 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $40K |
| 10 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $28K |
| 11 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $25K |
| 12 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $22K |
| 13 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $22K |
| 14 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $20K |
| 15 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $19K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $19K |
| 17 | 1447296272 | $18K |
| 18 | 1316983158 | $18K |
| 19 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $18K |
| 20 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $17K |
Showing top 20 of 159 providers billing this code