86077
HCPCS Procedure Code
HCPCS code 86077 is the #2,847 most-billed Medicaid procedure code, with $3.3M in payments across 122K claims from 2018–2024. The national median cost per claim is $28.77.
Total Paid
$3.3M
0.00% of all spending
Total Claims
122K
Providers
164
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 86077? Based on 162 providers billing this code nationally.
Median
$28.77
Average
$29.25
Std Dev
$11.61
Max
$58.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.49 and $34.74 per claim for this code.
90% bill between $14.85 and $43.68.
Top 1% bill above $58.23.
About This Procedure
HCPCS code 86077 was billed by 164 providers across 122K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 106K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.77
Providers Billing
162
National Spending
$3.3M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86077
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508972860 | $303K |
| 2 | 1831208826 | $191K |
| 3 | 1700274727 | $170K |
| 4 | North Shore-lij Medical Pc Great Neck, NY · Urology | $149K |
| 5 | Banner-university Medical Group Phoenix, AZ · Clinic/Center, Primary Care | $140K |
| 6 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $123K |
| 7 | 1669499414 | $113K |
| 8 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $100K |
| 9 | Wake Forest University Health Sciences Winston Salem, NC · Clinic/Center, Multi-Specialty | $96K |
| 10 | 1093768723 | $95K |
| 11 | 1588654016 | $79K |
| 12 | 1376852061 | $76K |
| 13 | 1457308637 | $66K |
| 14 | 1285682799 | $64K |
| 15 | 1487600334 | $59K |
| 16 | 1548373392 | $59K |
| 17 | 1871503474 | $56K |
| 18 | 1760445373 | $53K |
| 19 | 1548205909 | $52K |
| 20 | 1689695934 | $51K |
Showing top 20 of 164 providers billing this code