00860
HCPCS Procedure Code
HCPCS code 00860 is the #5,772 most-billed Medicaid procedure code, with $141K in payments across 2K claims from 2018–2024. The national median cost per claim is $75.89.
Total Paid
$141K
0.00% of all spending
Total Claims
2K
Providers
10
Avg Cost/Claim
$89
National Cost Distribution
How much do providers bill per claim for 00860? Based on 10 providers billing this code nationally.
Median
$75.89
Average
$99.05
Std Dev
$61.79
Max
$268.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $71.23 and $96.71 per claim for this code.
90% bill between $62.08 and $130.88.
Top 1% bill above $254.50.
About This Procedure
HCPCS code 00860 was billed by 10 providers across 2K claims, totaling $141K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$75.89
Providers Billing
10
National Spending
$141K
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00860
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093767766 | $57K |
| 2 | 1972126209 | $23K |
| 3 | 1487602546 | $15K |
| 4 | 1528010428 | $14K |
| 5 | 1871986372 | $13K |
| 6 | 1487609475 | $10K |
| 7 | 1225016926 | $4K |
| 8 | 1093078974 | $3K |
| 9 | 1497797153 | $2K |
| 10 | 1669581997 | $2K |
Showing top 10 of 10 providers billing this code