86147
HCPCS Procedure Code
HCPCS code 86147 is the #1,815 most-billed Medicaid procedure code, with $13.4M in payments across 671K claims from 2018–2024. The national median cost per claim is $22.44. Costs vary widely — the 90th percentile is $55.01 per claim, 2.5× the median.
Total Paid
$13.4M
0.00% of all spending
Total Claims
671K
Providers
354
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 86147? Based on 339 providers billing this code nationally.
Median
$22.44
Average
$28.24
Std Dev
$22.86
Max
$155.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.53 and $37.85 per claim for this code.
90% bill between $6.60 and $55.01.
Top 1% bill above $114.70.
About This Procedure
HCPCS code 86147 was billed by 354 providers across 671K claims, totaling $13.4M in Medicaid payments from 2018–2024. This code was used for 517K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.44
Providers Billing
339
National Spending
$13.4M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86147
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.7M |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $645K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $536K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $512K |
| 5 | 1245494517 | $488K |
| 6 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $478K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $422K |
| 8 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $332K |
| 9 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $325K |
| 10 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $319K |
| 11 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $284K |
| 12 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $283K |
| 13 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $267K |
| 14 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $243K |
| 15 | 1780620526 | $228K |
| 16 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $166K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $163K |
| 18 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $156K |
| 19 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $153K |
| 20 | 1265418669 | $152K |
Showing top 20 of 354 providers billing this code