86835
HCPCS Procedure Code
HCPCS code 86835 is the #5,074 most-billed Medicaid procedure code, with $301K in payments across 8K claims from 2018–2024. The national median cost per claim is $94.32. Costs vary widely — the 90th percentile is $435.92 per claim, 4.6× the median.
Total Paid
$301K
0.00% of all spending
Total Claims
8K
Providers
11
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 86835? Based on 11 providers billing this code nationally.
Median
$94.32
Average
$166.06
Std Dev
$182.11
Max
$546.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.87 and $242.28 per claim for this code.
90% bill between $18.25 and $435.92.
Top 1% bill above $535.78.
About This Procedure
HCPCS code 86835 was billed by 11 providers across 8K claims, totaling $301K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$94.32
Providers Billing
11
National Spending
$301K
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86835
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932280666 | $127K |
| 2 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $56K |
| 3 | University Of Washington Seattle, WA · Clinic/Center, Dental | $28K |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $27K |
| 5 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $19K |
| 6 | 1285667493 | $10K |
| 7 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $10K |
| 8 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $8K |
| 9 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $7K |
| 10 | 1427145176 | $7K |
| 11 | 1215930987 | $2K |
Showing top 11 of 11 providers billing this code