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#7237 of 11K

86622

HCPCS Procedure Code

HCPCS code 86622 is the #7,237 most-billed Medicaid procedure code, with $24K in payments across 3K claims from 2018–2024. The national median cost per claim is $5.91.

Total Paid

$24K

0.00% of all spending

Total Claims

3K

Providers

9

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 86622? Based on 9 providers billing this code nationally.

Median

$5.91

Average

$5.78

Std Dev

$2.61

Max

$9.08

Percentile Distribution (Cost per Claim)

p10
$3.44
p25
$4.54
Median
$5.91
p75
$7.70
p90
$8.60
p95
$8.84
p99
$9.03

50% of providers bill between $4.54 and $7.70 per claim for this code.

90% bill between $3.44 and $8.60.

Top 1% bill above $9.03.

About This Procedure

HCPCS code 86622 was billed by 9 providers across 3K claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.91

Providers Billing

9

National Spending

$24K

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86622

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$9K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$6K
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$3K
4Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$2K
5Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$2K
61750381281$395
71780620526$262
81891873303$166
91124130653$12

Showing top 9 of 9 providers billing this code