86294
HCPCS Procedure Code
HCPCS code 86294 is the #7,842 most-billed Medicaid procedure code, with $9K in payments across 4K claims from 2018–2024. The national median cost per claim is $7.36.
Total Paid
$9K
0.00% of all spending
Total Claims
4K
Providers
2
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 86294? Based on 2 providers billing this code nationally.
Median
$7.36
Average
$7.36
Std Dev
$6.93
Max
$12.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.91 and $9.81 per claim for this code.
90% bill between $3.44 and $11.28.
Top 1% bill above $12.17.
About This Procedure
HCPCS code 86294 was billed by 2 providers across 4K claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.36
Providers Billing
2
National Spending
$9K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.