86619
HCPCS Procedure Code
HCPCS code 86619 is the #6,801 most-billed Medicaid procedure code, with $42K in payments across 4K claims from 2018–2024. The national median cost per claim is $10.23.
Total Paid
$42K
0.00% of all spending
Total Claims
4K
Providers
4
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86619? Based on 4 providers billing this code nationally.
Median
$10.23
Average
$9.44
Std Dev
$4.64
Max
$14.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.58 and $12.08 per claim for this code.
90% bill between $4.95 and $13.28.
Top 1% bill above $14.00.
About This Procedure
HCPCS code 86619 was billed by 4 providers across 4K claims, totaling $42K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.23
Providers Billing
4
National Spending
$42K
Avg/Median Ratio
0.92×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.