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#7689 of 11K

86053

HCPCS Procedure Code

HCPCS code 86053 is the #7,689 most-billed Medicaid procedure code, with $12K in payments across 547 claims from 2018–2024. The national median cost per claim is $23.62.

Total Paid

$12K

0.00% of all spending

Total Claims

547

Providers

5

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 86053? Based on 5 providers billing this code nationally.

Median

$23.62

Average

$21.88

Std Dev

$14.29

Max

$43.42

Percentile Distribution (Cost per Claim)

p10
$8.58
p25
$10.42
Median
$23.62
p75
$24.60
p90
$35.89
p95
$39.65
p99
$42.66

50% of providers bill between $10.42 and $24.60 per claim for this code.

90% bill between $8.58 and $35.89.

Top 1% bill above $42.66.

About This Procedure

HCPCS code 86053 was billed by 5 providers across 547 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 497 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.62

Providers Billing

5

National Spending

$12K

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86053

#ProviderTotal Paid
1Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$8K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1K
3The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$917
4Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$910
5Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$301

Showing top 5 of 5 providers billing this code