77086
HCPCS Procedure Code
HCPCS code 77086 is the #7,221 most-billed Medicaid procedure code, with $24K in payments across 785 claims from 2018–2024. The national median cost per claim is $9.93. Costs vary widely — the 90th percentile is $41.56 per claim, 4.2× the median.
Total Paid
$24K
0.00% of all spending
Total Claims
785
Providers
9
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 77086? Based on 9 providers billing this code nationally.
Median
$9.93
Average
$17.72
Std Dev
$15.98
Max
$41.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.64 and $30.75 per claim for this code.
90% bill between $2.92 and $41.56.
Top 1% bill above $41.83.
About This Procedure
HCPCS code 77086 was billed by 9 providers across 785 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 767 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.93
Providers Billing
9
National Spending
$24K
Avg/Median Ratio
1.78×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 77086
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285603837 | $14K |
| 2 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $7K |
| 3 | University Hospital Newark, NJ · General Acute Care Hospital | $2K |
| 4 | 1275948994 | $512 |
| 5 | 1962511238 | $375 |
| 6 | 1396703690 | $242 |
| 7 | 1477887982 | $139 |
| 8 | 1376053843 | $136 |
| 9 | 1275581894 | $65 |
Showing top 9 of 9 providers billing this code