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#5875 of 11K

86367

HCPCS Procedure Code

HCPCS code 86367 is the #5,875 most-billed Medicaid procedure code, with $126K in payments across 7,753 claims from 2018–2024. The national median cost per claim is $10.28.

Total Paid

$126K

0.00% of all spending

Total Claims

7,753

Providers

2

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 86367? Based on 2 providers billing this code nationally.

Median

$10.28

Average

$10.28

Std Dev

$12.34

Max

$19.01

Percentile Distribution (Cost per Claim)

p10
$3.30
p25
$5.92
Median
$10.28
p75
$14.65
p90
$17.26
p95
$18.14
p99
$18.83

50% of providers bill between $5.92 and $14.65 per claim for this code.

90% bill between $3.30 and $17.26.

Top 1% bill above $18.83.

About This Procedure

HCPCS code 86367 was billed by 2 providers across 7,753 claims, totaling $126K in Medicaid payments from 2018–2024. This code was used for 6,473 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.28

Providers Billing

2

National Spending

$126K

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.