86320
HCPCS Procedure Code
HCPCS code 86320 is the #4,566 most-billed Medicaid procedure code, with $511K in payments across 48K claims from 2018–2024. The national median cost per claim is $9.68. Costs vary widely — the 90th percentile is $25.85 per claim, 2.7× the median.
Total Paid
$511K
0.00% of all spending
Total Claims
48K
Providers
40
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 86320? Based on 36 providers billing this code nationally.
Median
$9.68
Average
$13.19
Std Dev
$10.69
Max
$41.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.07 and $23.75 per claim for this code.
90% bill between $1.40 and $25.85.
Top 1% bill above $38.35.
About This Procedure
HCPCS code 86320 was billed by 40 providers across 48K claims, totaling $511K in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.68
Providers Billing
36
National Spending
$511K
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86320
| # | Provider | Total Paid |
|---|---|---|
| 1 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $149K |
| 2 | 1801874573 | $120K |
| 3 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $53K |
| 4 | 1669499414 | $48K |
| 5 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $25K |
| 6 | 1447255153 | $24K |
| 7 | 1164402038 | $16K |
| 8 | 1912018094 | $16K |
| 9 | 1841767274 | $15K |
| 10 | 1114079167 | $12K |
| 11 | 1275595449 | $10K |
| 12 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $4K |
| 13 | 1831137512 | $3K |
| 14 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $3K |
| 15 | Svmc Holdings, Inc Bridgeport, CT · General Acute Care Hospital | $2K |
| 16 | Tufts Medical Center, Inc. Boston, MA · General Acute Care Hospital | $2K |
| 17 | 1790131050 | $1K |
| 18 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $1K |
| 19 | 1194778415 | $1K |
| 20 | 1114984671 | $855 |
Showing top 20 of 40 providers billing this code