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#2762 of 11K

83861

HCPCS Procedure Code

HCPCS code 83861 is the #2,762 most-billed Medicaid procedure code, with $3.8M in payments across 376K claims from 2018–2024. The national median cost per claim is $10.95. Costs vary widely — the 90th percentile is $22.65 per claim, 2.1× the median.

Total Paid

$3.8M

0.00% of all spending

Total Claims

376K

Providers

367

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 83861? Based on 316 providers billing this code nationally.

Median

$10.95

Average

$12.12

Std Dev

$8.89

Max

$51.51

Percentile Distribution (Cost per Claim)

p10
$1.32
p25
$5.46
Median
$10.95
p75
$17.37
p90
$22.65
p95
$30.03
p99
$41.12

50% of providers bill between $5.46 and $17.37 per claim for this code.

90% bill between $1.32 and $22.65.

Top 1% bill above $41.12.

About This Procedure

HCPCS code 83861 was billed by 367 providers across 376K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 199K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.95

Providers Billing

316

National Spending

$3.8M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83861

#ProviderTotal Paid
11902932965$326K
21730292541$271K
31699078030$257K
41386710564$144K
51124189089$124K
61053506683$121K
71063555316$97K
81588645097$90K
91558458455$88K
101790839538$78K
111598942427$76K
121316008774$74K
131528242948$73K
141831266576$66K
151851305817$53K
161831304765$51K
171740491455$48K
181003848847$47K
191154434983$46K
201477986826$43K

Showing top 20 of 367 providers billing this code

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