86052
HCPCS Procedure Code
HCPCS code 86052 is the #7,615 most-billed Medicaid procedure code, with $13K in payments across 925 claims from 2018–2024. The national median cost per claim is $11.42. Costs vary widely — the 90th percentile is $24.79 per claim, 2.2× the median.
Total Paid
$13K
0.00% of all spending
Total Claims
925
Providers
4
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 86052? Based on 4 providers billing this code nationally.
Median
$11.42
Average
$13.40
Std Dev
$11.65
Max
$28.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.93 and $18.88 per claim for this code.
90% bill between $3.59 and $24.79.
Top 1% bill above $28.33.
About This Procedure
HCPCS code 86052 was billed by 4 providers across 925 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 866 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.42
Providers Billing
4
National Spending
$13K
Avg/Median Ratio
1.17×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.