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#8303 of 11K

86023

HCPCS Procedure Code

HCPCS code 86023 is the #8,303 most-billed Medicaid procedure code, with $4K in payments across 774 claims from 2018–2024. The national median cost per claim is $6.54.

Total Paid

$4K

0.00% of all spending

Total Claims

774

Providers

7

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 86023? Based on 6 providers billing this code nationally.

Median

$6.54

Average

$7.15

Std Dev

$4.07

Max

$14.29

Percentile Distribution (Cost per Claim)

p10
$3.48
p25
$4.40
Median
$6.54
p75
$8.27
p90
$11.42
p95
$12.85
p99
$14.00

50% of providers bill between $4.40 and $8.27 per claim for this code.

90% bill between $3.48 and $11.42.

Top 1% bill above $14.00.

About This Procedure

HCPCS code 86023 was billed by 7 providers across 774 claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 695 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.54

Providers Billing

6

National Spending

$4K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86023

#ProviderTotal Paid
1Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$2K
21780620526$701
3St. Mary's Medical Center Inc

Huntington, WV · General Acute Care Hospital

$560
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$360
5Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$286
6Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$52
71154655439$0

Showing top 7 of 7 providers billing this code