86022
HCPCS Procedure Code
HCPCS code 86022 is the #6,571 most-billed Medicaid procedure code, with $55K in payments across 6K claims from 2018–2024. The national median cost per claim is $6.60. Costs vary widely — the 90th percentile is $15.13 per claim, 2.3× the median.
Total Paid
$55K
0.00% of all spending
Total Claims
6K
Providers
20
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 86022? Based on 20 providers billing this code nationally.
Median
$6.60
Average
$17.74
Std Dev
$50.47
Max
$231.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.44 and $9.50 per claim for this code.
90% bill between $1.78 and $15.13.
Top 1% bill above $190.57.
About This Procedure
HCPCS code 86022 was billed by 20 providers across 6K claims, totaling $55K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.60
Providers Billing
20
National Spending
$55K
Avg/Median Ratio
2.69×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 86022
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $19K |
| 2 | 1710917836 | $18K |
| 3 | 1891873303 | $6K |
| 4 | 1831284280 | $3K |
| 5 | 1730119553 | $2K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1K |
| 7 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $903 |
| 8 | 1518917350 | $865 |
| 9 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $818 |
| 10 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $765 |
| 11 | 1023092053 | $728 |
| 12 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $391 |
| 13 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $360 |
| 14 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $155 |
| 15 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $87 |
| 16 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $54 |
| 17 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $33 |
| 18 | 1316984388 | $29 |
| 19 | 1871567289 | $20 |
| 20 | 1386246858 | $9 |
Showing top 20 of 20 providers billing this code