86735
HCPCS Procedure Code
HCPCS code 86735 is the #1,867 most-billed Medicaid procedure code, with $12.5M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $8.10.
Total Paid
$12.5M
0.00% of all spending
Total Claims
2.0M
Providers
507
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 86735? Based on 464 providers billing this code nationally.
Median
$8.10
Average
$9.64
Std Dev
$10.13
Max
$140.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.13 and $11.17 per claim for this code.
90% bill between $2.57 and $14.70.
Top 1% bill above $42.75.
About This Procedure
HCPCS code 86735 was billed by 507 providers across 2.0M claims, totaling $12.5M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.10
Providers Billing
464
National Spending
$12.5M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86735
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.6M |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.6M |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.3M |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $499K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $437K |
| 6 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $436K |
| 7 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $371K |
| 8 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $295K |
| 9 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $259K |
| 10 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $244K |
| 11 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $239K |
| 12 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $203K |
| 13 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $200K |
| 14 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $152K |
| 15 | 1467586792 | $151K |
| 16 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $144K |
| 17 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $136K |
| 18 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $134K |
| 19 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $124K |
| 20 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $110K |
Showing top 20 of 507 providers billing this code