86927
HCPCS Procedure Code
HCPCS code 86927 is the #5,893 most-billed Medicaid procedure code, with $123K in payments across 2,729 claims from 2018–2024. The national median cost per claim is $3.03. Costs vary widely — the 90th percentile is $36.49 per claim, 12.0× the median.
Total Paid
$123K
0.00% of all spending
Total Claims
2,729
Providers
5
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 86927? Based on 5 providers billing this code nationally.
Median
$3.03
Average
$13.86
Std Dev
$23.79
Max
$56.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.67 and $6.90 per claim for this code.
90% bill between $1.36 and $36.49.
Top 1% bill above $54.25.
About This Procedure
HCPCS code 86927 was billed by 5 providers across 2,729 claims, totaling $123K in Medicaid payments from 2018–2024. This code was used for 1,582 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.03
Providers Billing
5
National Spending
$123K
Avg/Median Ratio
4.57×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 86927
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588712285 | $122K |
| 2 | 1437211646 | $504 |
| 3 | 1922008150 | $192 |
| 4 | 1790711927 | $170 |
| 5 | 1578645685 | $88 |
Showing top 5 of 5 providers billing this code