86162
HCPCS Procedure Code
HCPCS code 86162 is the #3,778 most-billed Medicaid procedure code, with $1.2M in payments across 135K claims from 2018–2024. The national median cost per claim is $10.43.
Total Paid
$1.2M
0.00% of all spending
Total Claims
135K
Providers
104
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 86162? Based on 101 providers billing this code nationally.
Median
$10.43
Average
$10.60
Std Dev
$5.79
Max
$23.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.56 and $15.06 per claim for this code.
90% bill between $2.82 and $18.29.
Top 1% bill above $22.39.
About This Procedure
HCPCS code 86162 was billed by 104 providers across 135K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 128K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.43
Providers Billing
101
National Spending
$1.2M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86162
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $174K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $157K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $67K |
| 4 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $49K |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $47K |
| 6 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $46K |
| 7 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $36K |
| 8 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $35K |
| 9 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $35K |
| 10 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $31K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $31K |
| 12 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $30K |
| 13 | 1316983158 | $27K |
| 14 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $27K |
| 15 | 1447296272 | $24K |
| 16 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $23K |
| 17 | 1770529513 | $22K |
| 18 | 1922008150 | $21K |
| 19 | 1376548271 | $19K |
| 20 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $16K |
Showing top 20 of 104 providers billing this code