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#7997 of 11K

86713

HCPCS Procedure Code

HCPCS code 86713 is the #7,997 most-billed Medicaid procedure code, with $7K in payments across 411 claims from 2018–2024. The national median cost per claim is $19.57.

Total Paid

$7K

0.00% of all spending

Total Claims

411

Providers

7

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 86713? Based on 7 providers billing this code nationally.

Median

$19.57

Average

$17.48

Std Dev

$5.53

Max

$24.47

Percentile Distribution (Cost per Claim)

p10
$10.78
p25
$14.99
Median
$19.57
p75
$20.24
p90
$22.10
p95
$23.29
p99
$24.23

50% of providers bill between $14.99 and $20.24 per claim for this code.

90% bill between $10.78 and $22.10.

Top 1% bill above $24.23.

About This Procedure

HCPCS code 86713 was billed by 7 providers across 411 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 404 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.57

Providers Billing

7

National Spending

$7K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86713

#ProviderTotal Paid
11649278730$4K
2Upmc Presbyterian Shadyside

Pittsburgh, PA · Clinic/Center

$966
31225048838$944
4Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$612
51740365097$254
61457341851$242
7Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$189

Showing top 7 of 7 providers billing this code