86654
HCPCS Procedure Code
HCPCS code 86654 is the #8,688 most-billed Medicaid procedure code, with $2K in payments across 205 claims from 2018–2024. The national median cost per claim is $8.27.
Total Paid
$2K
0.00% of all spending
Total Claims
205
Providers
2
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86654? Based on 2 providers billing this code nationally.
Median
$8.27
Average
$8.27
Std Dev
$1.09
Max
$9.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.89 and $8.66 per claim for this code.
90% bill between $7.66 and $8.89.
Top 1% bill above $9.03.
About This Procedure
HCPCS code 86654 was billed by 2 providers across 205 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 178 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.27
Providers Billing
2
National Spending
$2K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.