86215
HCPCS Procedure Code
HCPCS code 86215 is the #5,007 most-billed Medicaid procedure code, with $322K in payments across 50K claims from 2018–2024. The national median cost per claim is $7.35.
Total Paid
$322K
0.00% of all spending
Total Claims
50K
Providers
43
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 86215? Based on 42 providers billing this code nationally.
Median
$7.35
Average
$7.69
Std Dev
$4.60
Max
$21.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.38 and $9.41 per claim for this code.
90% bill between $2.18 and $13.27.
Top 1% bill above $20.21.
About This Procedure
HCPCS code 86215 was billed by 43 providers across 50K claims, totaling $322K in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.35
Providers Billing
42
National Spending
$322K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86215
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $88K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $64K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $53K |
| 4 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $23K |
| 5 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $20K |
| 6 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $15K |
| 7 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $13K |
| 8 | 1811997711 | $12K |
| 9 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $5K |
| 10 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $3K |
| 11 | Centers Lab Nj Llc Cedar Knolls, NJ · Clinical Medical Laboratory | $3K |
| 12 | 1447296272 | $2K |
| 13 | 1962485136 | $2K |
| 14 | 1073587937 | $2K |
| 15 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $2K |
| 16 | 1033495221 | $1K |
| 17 | 1770529513 | $1K |
| 18 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1K |
| 19 | 1780620526 | $1K |
| 20 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $1K |
Showing top 20 of 43 providers billing this code