86079
HCPCS Procedure Code
HCPCS code 86079 is the #7,291 most-billed Medicaid procedure code, with $22K in payments across 897 claims from 2018–2024. The national median cost per claim is $25.37.
Total Paid
$22K
0.00% of all spending
Total Claims
897
Providers
9
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 86079? Based on 9 providers billing this code nationally.
Median
$25.37
Average
$28.21
Std Dev
$17.52
Max
$63.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.98 and $31.02 per claim for this code.
90% bill between $11.42 and $47.03.
Top 1% bill above $61.94.
About This Procedure
HCPCS code 86079 was billed by 9 providers across 897 claims, totaling $22K in Medicaid payments from 2018–2024. This code was used for 625 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.37
Providers Billing
9
National Spending
$22K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86079
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376852061 | $5K |
| 2 | 1942498985 | $5K |
| 3 | 1477554814 | $4K |
| 4 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $4K |
| 5 | 1366499733 | $2K |
| 6 | 1518229129 | $1K |
| 7 | 1396144879 | $520 |
| 8 | Yale University New Haven, CT · Internal Medicine | $384 |
| 9 | Integrated Regional Laboratories Pathology Services Llc Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology | $27 |
Showing top 9 of 9 providers billing this code