86692
HCPCS Procedure Code
HCPCS code 86692 is the #6,374 most-billed Medicaid procedure code, with $70K in payments across 10K claims from 2018–2024. The national median cost per claim is $10.45.
Total Paid
$70K
0.00% of all spending
Total Claims
10K
Providers
25
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 86692? Based on 24 providers billing this code nationally.
Median
$10.45
Average
$9.78
Std Dev
$5.38
Max
$20.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.32 and $13.46 per claim for this code.
90% bill between $2.26 and $15.50.
Top 1% bill above $19.96.
About This Procedure
HCPCS code 86692 was billed by 25 providers across 10K claims, totaling $70K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.45
Providers Billing
24
National Spending
$70K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86692
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $19K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $19K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $8K |
| 4 | 1780620526 | $5K |
| 5 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $4K |
| 6 | 1124130653 | $3K |
| 7 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $2K |
| 8 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $2K |
| 9 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $2K |
| 10 | 1104829159 | $960 |
| 11 | 1548370745 | $885 |
| 12 | 1215930987 | $872 |
| 13 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $834 |
| 14 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $710 |
| 15 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $640 |
| 16 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $543 |
| 17 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $524 |
| 18 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $242 |
| 19 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $222 |
| 20 | 1487739447 | $187 |
Showing top 20 of 25 providers billing this code