86580
Tuberculosis (TB) skin test
Tuberculosis (TB) skin test is the #1,729 most-billed Medicaid procedure code, with $15.2M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $4.46.
Total Paid
$15.2M
0.00% of all spending
Total Claims
2.1M
Providers
4K
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 86580? Based on 3K providers billing this code nationally.
Median
$4.46
Average
$7.00
Std Dev
$29.46
Max
$701.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.31 and $6.50 per claim for this code.
90% bill between $0.40 and $8.52.
Top 1% bill above $38.88.
About This Procedure
HCPCS code 86580 (Tuberculosis (TB) skin test) was billed by 4K providers across 2.1M claims, totaling $15.2M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.46
Providers Billing
3K
National Spending
$15.2M
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86580
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $3.7M |
| 2 | Yukon-kuskokwim Health Corporation Bethel, AK · Physician Assistant | $983K |
| 3 | 1124201199 | $301K |
| 4 | 1568495364 | $286K |
| 5 | 1689603748 | $265K |
| 6 | 1316995210 | $218K |
| 7 | 1326225582 | $162K |
| 8 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $98K |
| 9 | 1578633533 | $96K |
| 10 | 1619966892 | $95K |
| 11 | 1851357560 | $94K |
| 12 | 1134191836 | $88K |
| 13 | 1417076829 | $88K |
| 14 | 1689857658 | $85K |
| 15 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $77K |
| 16 | 1255881637 | $77K |
| 17 | 1235585126 | $70K |
| 18 | 1346493962 | $70K |
| 19 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $67K |
| 20 | 1801956818 | $62K |
Showing top 20 of 4K providers billing this code