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#6801 of 11K

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)

p10
$4.95
p25
$7.58
Median
$10.23
p75
$12.08
p90
$13.28
p95
$13.68
p99
$14.00

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.