86833
HCPCS Procedure Code
HCPCS code 86833 is the #2,123 most-billed Medicaid procedure code, with $8.7M in payments across 143K claims from 2018–2024. The national median cost per claim is $53.87. Costs vary widely — the 90th percentile is $166.60 per claim, 3.1× the median.
Total Paid
$8.7M
0.00% of all spending
Total Claims
143K
Providers
127
Avg Cost/Claim
$61
National Cost Distribution
How much do providers bill per claim for 86833? Based on 125 providers billing this code nationally.
Median
$53.87
Average
$76.89
Std Dev
$86.96
Max
$616.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.92 and $94.78 per claim for this code.
90% bill between $8.29 and $166.60.
Top 1% bill above $425.42.
About This Procedure
HCPCS code 86833 was billed by 127 providers across 143K claims, totaling $8.7M in Medicaid payments from 2018–2024. This code was used for 121K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$53.87
Providers Billing
125
National Spending
$8.7M
Avg/Median Ratio
1.43×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86833
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932280666 | $664K |
| 2 | 1639172372 | $490K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $446K |
| 4 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $444K |
| 5 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $327K |
| 6 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $282K |
| 7 | 1083249577 | $281K |
| 8 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $278K |
| 9 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $259K |
| 10 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $255K |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $242K |
| 12 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $238K |
| 13 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $194K |
| 14 | Children's Hospital Corporation Boston, MA · Clinic/Center | $186K |
| 15 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $185K |
| 16 | Tufts Medical Center, Inc. Boston, MA · General Acute Care Hospital | $183K |
| 17 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $171K |
| 18 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $169K |
| 19 | 1669430773 | $149K |
| 20 | 1285798918 | $144K |
Showing top 20 of 127 providers billing this code