86063
HCPCS Procedure Code
HCPCS code 86063 is the #4,612 most-billed Medicaid procedure code, with $488K in payments across 111K claims from 2018–2024. The national median cost per claim is $2.52. Costs vary widely — the 90th percentile is $6.10 per claim, 2.4× the median.
Total Paid
$488K
0.00% of all spending
Total Claims
111K
Providers
59
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 86063? Based on 50 providers billing this code nationally.
Median
$2.52
Average
$4.38
Std Dev
$10.15
Max
$65.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.52 and $4.31 per claim for this code.
90% bill between $0.24 and $6.10.
Top 1% bill above $50.62.
About This Procedure
HCPCS code 86063 was billed by 59 providers across 111K claims, totaling $488K in Medicaid payments from 2018–2024. This code was used for 97K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.52
Providers Billing
50
National Spending
$488K
Avg/Median Ratio
1.74×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86063
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972625499 | $281K |
| 2 | 1902844194 | $67K |
| 3 | 1144202003 | $35K |
| 4 | 1265546048 | $25K |
| 5 | 1245275106 | $18K |
| 6 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $18K |
| 7 | 1750332565 | $12K |
| 8 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $7K |
| 9 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $6K |
| 10 | 1902416936 | $5K |
| 11 | 1033201090 | $1K |
| 12 | 1700913118 | $1K |
| 13 | 1700120318 | $1K |
| 14 | 1790939643 | $925 |
| 15 | 1043649155 | $861 |
| 16 | 1821091067 | $797 |
| 17 | 1306585328 | $781 |
| 18 | 1407861990 | $729 |
| 19 | 1134606171 | $708 |
| 20 | 1144228347 | $652 |
Showing top 20 of 59 providers billing this code