86703
HCPCS Procedure Code
HCPCS code 86703 is the #1,233 most-billed Medicaid procedure code, with $32.2M in payments across 3.1M claims from 2018–2024. The national median cost per claim is $10.37.
Total Paid
$32.2M
0.00% of all spending
Total Claims
3.1M
Providers
2K
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86703? Based on 2K providers billing this code nationally.
Median
$10.37
Average
$10.77
Std Dev
$15.79
Max
$443.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.74 and $12.64 per claim for this code.
90% bill between $1.10 and $16.83.
Top 1% bill above $49.55.
About This Procedure
HCPCS code 86703 was billed by 2K providers across 3.1M claims, totaling $32.2M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.37
Providers Billing
2K
National Spending
$32.2M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86703
| # | Provider | Total Paid |
|---|---|---|
| 1 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $1.3M |
| 2 | Alameda Health System Oakland, CA · General Acute Care Hospital | $991K |
| 3 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $812K |
| 4 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $799K |
| 5 | 1417959701 | $748K |
| 6 | Lexington Health Inc West Columbia, SC · General Acute Care Hospital | $700K |
| 7 | 1710916945 | $590K |
| 8 | Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical | $568K |
| 9 | 1144202003 | $548K |
| 10 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $522K |
| 11 | 1548225428 | $413K |
| 12 | Tarrant County Hospital District Fort Worth, TX · Clinic/Center, Ambulatory Family Planning Facility | $399K |
| 13 | 1942221098 | $387K |
| 14 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $381K |
| 15 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $371K |
| 16 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $362K |
| 17 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $312K |
| 18 | 1356406136 | $301K |
| 19 | 1033124961 | $277K |
| 20 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $273K |
Showing top 20 of 2K providers billing this code