86638
HCPCS Procedure Code
HCPCS code 86638 is the #6,888 most-billed Medicaid procedure code, with $38K in payments across 3K claims from 2018–2024. The national median cost per claim is $10.50.
Total Paid
$38K
0.00% of all spending
Total Claims
3K
Providers
7
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 86638? Based on 7 providers billing this code nationally.
Median
$10.50
Average
$11.63
Std Dev
$4.37
Max
$19.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.48 and $13.74 per claim for this code.
90% bill between $7.21 and $16.31.
Top 1% bill above $19.08.
About This Procedure
HCPCS code 86638 was billed by 7 providers across 3K claims, totaling $38K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.50
Providers Billing
7
National Spending
$38K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86638
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $25K |
| 2 | 1184861353 | $6K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $3K |
| 4 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $2K |
| 5 | 1124130653 | $1K |
| 6 | 1780620526 | $371 |
| 7 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $263 |
Showing top 7 of 7 providers billing this code