86940
HCPCS Procedure Code
HCPCS code 86940 is the #8,742 most-billed Medicaid procedure code, with $1K in payments across 380 claims from 2018–2024. The national median cost per claim is $2.77. Costs vary widely — the 90th percentile is $6.87 per claim, 2.5× the median.
Total Paid
$1K
0.00% of all spending
Total Claims
380
Providers
5
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 86940? Based on 5 providers billing this code nationally.
Median
$2.77
Average
$3.64
Std Dev
$3.34
Max
$9.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.52 and $3.25 per claim for this code.
90% bill between $1.24 and $6.87.
Top 1% bill above $9.04.
About This Procedure
HCPCS code 86940 was billed by 5 providers across 380 claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 280 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.77
Providers Billing
5
National Spending
$1K
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86940
| # | Provider | Total Paid |
|---|---|---|
| 1 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $668 |
| 2 | 1003878240 | $318 |
| 3 | 1780611566 | $283 |
| 4 | 1881632107 | $55 |
| 5 | 1700848835 | $29 |
Showing top 5 of 5 providers billing this code