86051
HCPCS Procedure Code
HCPCS code 86051 is the #7,093 most-billed Medicaid procedure code, with $29K in payments across 1,781 claims from 2018–2024. The national median cost per claim is $14.34.
Total Paid
$29K
0.00% of all spending
Total Claims
1,781
Providers
3
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 86051? Based on 2 providers billing this code nationally.
Median
$14.34
Average
$14.34
Std Dev
$3.19
Max
$16.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.22 and $15.47 per claim for this code.
90% bill between $12.54 and $16.15.
Top 1% bill above $16.55.
About This Procedure
HCPCS code 86051 was billed by 3 providers across 1,781 claims, totaling $29K in Medicaid payments from 2018–2024. This code was used for 1,633 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.34
Providers Billing
2
National Spending
$29K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.