86756
HCPCS Procedure Code
HCPCS code 86756 is the #3,197 most-billed Medicaid procedure code, with $2.2M in payments across 113K claims from 2018–2024. The national median cost per claim is $13.28. Costs vary widely — the 90th percentile is $31.41 per claim, 2.4× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
113K
Providers
273
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 86756? Based on 248 providers billing this code nationally.
Median
$13.28
Average
$18.33
Std Dev
$26.77
Max
$260.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.28 and $17.53 per claim for this code.
90% bill between $1.49 and $31.41.
Top 1% bill above $135.72.
About This Procedure
HCPCS code 86756 was billed by 273 providers across 113K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 105K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.28
Providers Billing
248
National Spending
$2.2M
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86756
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083668669 | $284K |
| 2 | 1700831724 | $239K |
| 3 | 1457309247 | $140K |
| 4 | 1447221742 | $116K |
| 5 | Children's Hospital New Orleans, LA · General Acute Care Hospital Children | $66K |
| 6 | 1073606901 | $52K |
| 7 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $52K |
| 8 | 1699704254 | $50K |
| 9 | 1487607792 | $48K |
| 10 | 1770522906 | $43K |
| 11 | 1316124597 | $42K |
| 12 | 1801990825 | $41K |
| 13 | 1255302766 | $38K |
| 14 | 1154310514 | $33K |
| 15 | 1568576056 | $33K |
| 16 | 1841231461 | $30K |
| 17 | 1003981549 | $29K |
| 18 | 1063616613 | $28K |
| 19 | 1114239068 | $28K |
| 20 | 1043267701 | $27K |
Showing top 20 of 273 providers billing this code