86713
HCPCS Procedure Code
HCPCS code 86713 is the #7,997 most-billed Medicaid procedure code, with $7K in payments across 411 claims from 2018–2024. The national median cost per claim is $19.57.
Total Paid
$7K
0.00% of all spending
Total Claims
411
Providers
7
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 86713? Based on 7 providers billing this code nationally.
Median
$19.57
Average
$17.48
Std Dev
$5.53
Max
$24.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.99 and $20.24 per claim for this code.
90% bill between $10.78 and $22.10.
Top 1% bill above $24.23.
About This Procedure
HCPCS code 86713 was billed by 7 providers across 411 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 404 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.57
Providers Billing
7
National Spending
$7K
Avg/Median Ratio
0.89×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86713
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649278730 | $4K |
| 2 | Upmc Presbyterian Shadyside Pittsburgh, PA · Clinic/Center | $966 |
| 3 | 1225048838 | $944 |
| 4 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $612 |
| 5 | 1740365097 | $254 |
| 6 | 1457341851 | $242 |
| 7 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $189 |
Showing top 7 of 7 providers billing this code