86747
HCPCS Procedure Code
HCPCS code 86747 is the #3,282 most-billed Medicaid procedure code, with $2.0M in payments across 148K claims from 2018–2024. The national median cost per claim is $13.96.
Total Paid
$2.0M
0.00% of all spending
Total Claims
148K
Providers
85
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 86747? Based on 83 providers billing this code nationally.
Median
$13.96
Average
$14.73
Std Dev
$9.95
Max
$76.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.87 and $17.83 per claim for this code.
90% bill between $4.70 and $23.90.
Top 1% bill above $42.33.
About This Procedure
HCPCS code 86747 was billed by 85 providers across 148K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 134K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.96
Providers Billing
83
National Spending
$2.0M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86747
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $293K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $288K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $275K |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $228K |
| 5 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $109K |
| 6 | 1467586792 | $103K |
| 7 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $95K |
| 8 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $58K |
| 9 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $55K |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $53K |
| 11 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $53K |
| 12 | 1235234402 | $49K |
| 13 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $36K |
| 14 | 1235186800 | $32K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $28K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $25K |
| 17 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $22K |
| 18 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $22K |
| 19 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $17K |
| 20 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $17K |
Showing top 20 of 85 providers billing this code