86762
HCPCS Procedure Code
HCPCS code 86762 is the #1,038 most-billed Medicaid procedure code, with $46.6M in payments across 5.6M claims from 2018–2024. The national median cost per claim is $9.97.
Total Paid
$46.6M
0.00% of all spending
Total Claims
5.6M
Providers
2K
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86762? Based on 2K providers billing this code nationally.
Median
$9.97
Average
$11.34
Std Dev
$12.67
Max
$142.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.34 and $13.70 per claim for this code.
90% bill between $1.62 and $19.15.
Top 1% bill above $64.59.
About This Procedure
HCPCS code 86762 was billed by 2K providers across 5.6M claims, totaling $46.6M in Medicaid payments from 2018–2024. This code was used for 5.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.97
Providers Billing
2K
National Spending
$46.6M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86762
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $3.0M |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $2.0M |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.7M |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.3M |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.0M |
| 6 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $979K |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $825K |
| 8 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $790K |
| 9 | Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical | $663K |
| 10 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $562K |
| 11 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $524K |
| 12 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $517K |
| 13 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $485K |
| 14 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $402K |
| 15 | 1235290651 | $396K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $367K |
| 17 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $362K |
| 18 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $362K |
| 19 | 1801826680 | $342K |
| 20 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $338K |
Showing top 20 of 2K providers billing this code