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#5893 of 11K

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)

p10
$1.36
p25
$2.67
Median
$3.03
p75
$6.90
p90
$36.49
p95
$46.36
p99
$54.25

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

#ProviderTotal Paid
11588712285$122K
21437211646$504
31922008150$192
41790711927$170
51578645685$88

Showing top 5 of 5 providers billing this code