86171
HCPCS Procedure Code
HCPCS code 86171 is the #4,503 most-billed Medicaid procedure code, with $544K in payments across 52K claims from 2018–2024. The national median cost per claim is $7.67.
Total Paid
$544K
0.00% of all spending
Total Claims
52K
Providers
43
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86171? Based on 33 providers billing this code nationally.
Median
$7.67
Average
$8.56
Std Dev
$9.02
Max
$47.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.25 and $12.24 per claim for this code.
90% bill between $0.44 and $15.02.
Top 1% bill above $39.43.
About This Procedure
HCPCS code 86171 was billed by 43 providers across 52K claims, totaling $544K in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.67
Providers Billing
33
National Spending
$544K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86171
| # | Provider | Total Paid |
|---|---|---|
| 1 | Kern County Hospital Authority Bakersfield, CA · General Acute Care Hospital | $239K |
| 2 | 1689628984 | $117K |
| 3 | 1427176569 | $86K |
| 4 | 1700949336 | $26K |
| 5 | 1457341851 | $22K |
| 6 | 1427095488 | $10K |
| 7 | 1811417553 | $7K |
| 8 | 1902857766 | $7K |
| 9 | 1144237272 | $5K |
| 10 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $3K |
| 11 | 1023253556 | $2K |
| 12 | 1881626943 | $2K |
| 13 | 1366441370 | $2K |
| 14 | 1841388519 | $2K |
| 15 | 1538157508 | $2K |
| 16 | 1104829159 | $1K |
| 17 | 1952312043 | $1K |
| 18 | 1992893416 | $1K |
| 19 | 1144277633 | $1K |
| 20 | 1245275106 | $1K |
Showing top 20 of 43 providers billing this code