86829
HCPCS Procedure Code
HCPCS code 86829 is the #5,483 most-billed Medicaid procedure code, with $189K in payments across 7K claims from 2018–2024. The national median cost per claim is $24.20. Costs vary widely — the 90th percentile is $73.54 per claim, 3.0× the median.
Total Paid
$189K
0.00% of all spending
Total Claims
7K
Providers
8
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 86829? Based on 8 providers billing this code nationally.
Median
$24.20
Average
$37.58
Std Dev
$45.66
Max
$146.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.02 and $31.64 per claim for this code.
90% bill between $7.82 and $73.54.
Top 1% bill above $139.46.
About This Procedure
HCPCS code 86829 was billed by 8 providers across 7K claims, totaling $189K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.20
Providers Billing
8
National Spending
$189K
Avg/Median Ratio
1.55×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86829
| # | Provider | Total Paid |
|---|---|---|
| 1 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $93K |
| 2 | 1457354656 | $50K |
| 3 | 1427360700 | $23K |
| 4 | 1699874248 | $9K |
| 5 | 1073587937 | $6K |
| 6 | 1669430773 | $4K |
| 7 | 1942244645 | $4K |
| 8 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $548 |
Showing top 8 of 8 providers billing this code