86152
HCPCS Procedure Code
HCPCS code 86152 is the #6,914 most-billed Medicaid procedure code, with $37K in payments across 655 claims from 2018–2024. The national median cost per claim is $23.59. Costs vary widely — the 90th percentile is $56.93 per claim, 2.4× the median.
Total Paid
$37K
0.00% of all spending
Total Claims
655
Providers
5
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for 86152? Based on 5 providers billing this code nationally.
Median
$23.59
Average
$32.52
Std Dev
$23.14
Max
$59.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.47 and $52.86 per claim for this code.
90% bill between $11.41 and $56.93.
Top 1% bill above $59.37.
About This Procedure
HCPCS code 86152 was billed by 5 providers across 655 claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 402 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.59
Providers Billing
5
National Spending
$37K
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86152
| # | Provider | Total Paid |
|---|---|---|
| 1 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $35K |
| 2 | 1447276605 | $952 |
| 3 | 1619901642 | $425 |
| 4 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $270 |
| 5 | 1558365890 | $81 |
Showing top 5 of 5 providers billing this code