86902
HCPCS Procedure Code
HCPCS code 86902 is the #1,839 most-billed Medicaid procedure code, with $13.0M in payments across 160K claims from 2018–2024. The national median cost per claim is $24.83. Costs vary widely — the 90th percentile is $169.97 per claim, 6.8× the median.
Total Paid
$13.0M
0.00% of all spending
Total Claims
160K
Providers
121
Avg Cost/Claim
$81
National Cost Distribution
How much do providers bill per claim for 86902? Based on 121 providers billing this code nationally.
Median
$24.83
Average
$60.42
Std Dev
$106.28
Max
$594.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.63 and $48.06 per claim for this code.
90% bill between $3.36 and $169.97.
Top 1% bill above $513.56.
About This Procedure
HCPCS code 86902 was billed by 121 providers across 160K claims, totaling $13.0M in Medicaid payments from 2018–2024. This code was used for 103K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.83
Providers Billing
121
National Spending
$13.0M
Avg/Median Ratio
2.43×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 86902
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $6.1M |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.8M |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $961K |
| 4 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $549K |
| 5 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $388K |
| 6 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $315K |
| 7 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $214K |
| 8 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $176K |
| 9 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $152K |
| 10 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $148K |
| 11 | 1427360700 | $124K |
| 12 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $120K |
| 13 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $107K |
| 14 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $106K |
| 15 | 1558365890 | $93K |
| 16 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $92K |
| 17 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $86K |
| 18 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $84K |
| 19 | 1366459570 | $74K |
| 20 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $71K |
Showing top 20 of 121 providers billing this code