86922
HCPCS Procedure Code
HCPCS code 86922 is the #2,611 most-billed Medicaid procedure code, with $4.6M in payments across 118K claims from 2018–2024. The national median cost per claim is $20.85. Costs vary widely — the 90th percentile is $84.26 per claim, 4.0× the median.
Total Paid
$4.6M
0.00% of all spending
Total Claims
118K
Providers
184
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 86922? Based on 163 providers billing this code nationally.
Median
$20.85
Average
$38.76
Std Dev
$70.70
Max
$700.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.11 and $40.25 per claim for this code.
90% bill between $3.36 and $84.26.
Top 1% bill above $321.66.
About This Procedure
HCPCS code 86922 was billed by 184 providers across 118K claims, totaling $4.6M in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.85
Providers Billing
163
National Spending
$4.6M
Avg/Median Ratio
1.86×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86922
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $1.0M |
| 2 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $259K |
| 3 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $240K |
| 4 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $214K |
| 5 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $153K |
| 6 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $147K |
| 7 | 1205935012 | $145K |
| 8 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $126K |
| 9 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $115K |
| 10 | 1366459570 | $114K |
| 11 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $106K |
| 12 | 1710909585 | $105K |
| 13 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $102K |
| 14 | 1689761942 | $82K |
| 15 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $81K |
| 16 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $80K |
| 17 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $75K |
| 18 | 1225041809 | $62K |
| 19 | 1043218944 | $61K |
| 20 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $61K |
Showing top 20 of 184 providers billing this code