86156
HCPCS Procedure Code
HCPCS code 86156 is the #6,170 most-billed Medicaid procedure code, with $88K in payments across 16K claims from 2018–2024. The national median cost per claim is $3.68.
Total Paid
$88K
0.00% of all spending
Total Claims
16K
Providers
7
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 86156? Based on 7 providers billing this code nationally.
Median
$3.68
Average
$3.92
Std Dev
$2.24
Max
$6.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.80 and $6.01 per claim for this code.
90% bill between $1.69 and $6.47.
Top 1% bill above $6.51.
About This Procedure
HCPCS code 86156 was billed by 7 providers across 16K claims, totaling $88K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.68
Providers Billing
7
National Spending
$88K
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86156
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1952474165 | $86K |
| 2 | 1174611081 | $2K |
| 3 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $180 |
| 4 | 1922006055 | $157 |
| 5 | 1780986257 | $105 |
| 6 | 1699714717 | $85 |
| 7 | 1720306566 | $50 |
Showing top 7 of 7 providers billing this code