86813
HCPCS Procedure Code
HCPCS code 86813 is the #6,487 most-billed Medicaid procedure code, with $61K in payments across 5K claims from 2018–2024. The national median cost per claim is $13.42.
Total Paid
$61K
0.00% of all spending
Total Claims
5K
Providers
2
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 86813? Based on 1 providers billing this code nationally.
Median
$13.42
Average
$13.42
Std Dev
—
Max
$13.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.42 and $13.42 per claim for this code.
90% bill between $13.42 and $13.42.
Top 1% bill above $13.42.
About This Procedure
HCPCS code 86813 was billed by 2 providers across 5K claims, totaling $61K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.42
Providers Billing
1
National Spending
$61K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.