86161
HCPCS Procedure Code
HCPCS code 86161 is the #4,762 most-billed Medicaid procedure code, with $416K in payments across 40K claims from 2018–2024. The national median cost per claim is $7.21.
Total Paid
$416K
0.00% of all spending
Total Claims
40K
Providers
48
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86161? Based on 48 providers billing this code nationally.
Median
$7.21
Average
$9.48
Std Dev
$17.72
Max
$125.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.34 and $10.81 per claim for this code.
90% bill between $0.61 and $12.13.
Top 1% bill above $75.66.
About This Procedure
HCPCS code 86161 was billed by 48 providers across 40K claims, totaling $416K in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.21
Providers Billing
48
National Spending
$416K
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86161
| # | Provider | Total Paid |
|---|---|---|
| 1 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $166K |
| 2 | Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist, | $89K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $47K |
| 4 | 1639179328 | $19K |
| 5 | 1447255153 | $12K |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $12K |
| 7 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $10K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $10K |
| 9 | 1447233861 | $9K |
| 10 | 1447296272 | $8K |
| 11 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $5K |
| 12 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $5K |
| 13 | Bethesda Hospital Inc Cincinnati, OH · General Acute Care Hospital | $4K |
| 14 | 1568405793 | $4K |
| 15 | 1134220031 | $2K |
| 16 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $2K |
| 17 | 1902896905 | $2K |
| 18 | 1730209545 | $1K |
| 19 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $1K |
| 20 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $961 |
Showing top 20 of 48 providers billing this code