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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $8K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1K |
| 3 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $917 |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $910 |
| 5 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $301 |
Showing top 5 of 5 providers billing this code