86140
HCPCS Procedure Code
HCPCS code 86140 is the #925 most-billed Medicaid procedure code, with $57.7M in payments across 18.2M claims from 2018–2024. The national median cost per claim is $3.02. Costs vary widely — the 90th percentile is $8.45 per claim, 2.8× the median.
Total Paid
$57.7M
0.01% of all spending
Total Claims
18.2M
Providers
5K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 86140? Based on 4K providers billing this code nationally.
Median
$3.02
Average
$4.83
Std Dev
$9.24
Max
$186.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.31 and $4.63 per claim for this code.
90% bill between $0.38 and $8.45.
Top 1% bill above $38.39.
About This Procedure
HCPCS code 86140 was billed by 5K providers across 18.2M claims, totaling $57.7M in Medicaid payments from 2018–2024. This code was used for 15.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.02
Providers Billing
4K
National Spending
$57.7M
Avg/Median Ratio
1.60×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86140
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.3M |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.2M |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.0M |
| 4 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $985K |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $892K |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $721K |
| 7 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $539K |
| 8 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $525K |
| 9 | Southeast Alaska Regional Health Consortium Sitka, AK · Podiatrist | $485K |
| 10 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $479K |
| 11 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $463K |
| 12 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $460K |
| 13 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $449K |
| 14 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $443K |
| 15 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $419K |
| 16 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $415K |
| 17 | 1700831724 | $392K |
| 18 | 1598747651 | $389K |
| 19 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $373K |
| 20 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $370K |
Showing top 20 of 5K providers billing this code