86615
HCPCS Procedure Code
HCPCS code 86615 is the #5,583 most-billed Medicaid procedure code, with $172K in payments across 18K claims from 2018–2024. The national median cost per claim is $9.41. Costs vary widely — the 90th percentile is $19.85 per claim, 2.1× the median.
Total Paid
$172K
0.00% of all spending
Total Claims
18K
Providers
26
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86615? Based on 25 providers billing this code nationally.
Median
$9.41
Average
$12.88
Std Dev
$12.63
Max
$61.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.23 and $14.50 per claim for this code.
90% bill between $3.17 and $19.85.
Top 1% bill above $55.56.
About This Procedure
HCPCS code 86615 was billed by 26 providers across 18K claims, totaling $172K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.41
Providers Billing
25
National Spending
$172K
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86615
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $58K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $35K |
| 3 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $18K |
| 4 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $17K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $10K |
| 6 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $6K |
| 7 | 1578113221 | $5K |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $5K |
| 9 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $3K |
| 10 | 1205928793 | $3K |
| 11 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $3K |
| 12 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $2K |
| 13 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $2K |
| 14 | 1124130653 | $2K |
| 15 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $2K |
| 16 | 1780620526 | $1K |
| 17 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $609 |
| 18 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $419 |
| 19 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $279 |
| 20 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $232 |
Showing top 20 of 26 providers billing this code