86318
HCPCS Procedure Code
HCPCS code 86318 is the #3,211 most-billed Medicaid procedure code, with $2.2M in payments across 178K claims from 2018–2024. The national median cost per claim is $11.61.
Total Paid
$2.2M
0.00% of all spending
Total Claims
178K
Providers
306
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 86318? Based on 256 providers billing this code nationally.
Median
$11.61
Average
$14.80
Std Dev
$37.80
Max
$554.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.63 and $15.94 per claim for this code.
90% bill between $2.53 and $18.25.
Top 1% bill above $71.81.
About This Procedure
HCPCS code 86318 was billed by 306 providers across 178K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 153K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.61
Providers Billing
256
National Spending
$2.2M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86318
| # | Provider | Total Paid |
|---|---|---|
| 1 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $484K |
| 2 | 1942221098 | $454K |
| 3 | 1396316212 | $184K |
| 4 | 1245452747 | $82K |
| 5 | 1669058285 | $76K |
| 6 | Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical | $74K |
| 7 | 1548538200 | $55K |
| 8 | 1871548016 | $41K |
| 9 | 1073606901 | $41K |
| 10 | 1134158900 | $30K |
| 11 | 1679805493 | $29K |
| 12 | 1033646781 | $28K |
| 13 | 1477902641 | $27K |
| 14 | 1013924372 | $23K |
| 15 | 1285902106 | $23K |
| 16 | 1295813764 | $22K |
| 17 | 1548208440 | $21K |
| 18 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $21K |
| 19 | Health Network Laboratories, Llc Allentown, PA · Clinical Medical Laboratory | $17K |
| 20 | 1629099163 | $15K |
Showing top 20 of 306 providers billing this code