86941
HCPCS Procedure Code
HCPCS code 86941 is the #5,716 most-billed Medicaid procedure code, with $149K in payments across 9,897 claims from 2018–2024. The national median cost per claim is $7.26. Costs vary widely — the 90th percentile is $16.10 per claim, 2.2× the median.
Total Paid
$149K
0.00% of all spending
Total Claims
9,897
Providers
6
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 86941? Based on 6 providers billing this code nationally.
Median
$7.26
Average
$9.04
Std Dev
$5.83
Max
$16.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.20 and $14.23 per claim for this code.
90% bill between $3.77 and $16.10.
Top 1% bill above $16.18.
About This Procedure
HCPCS code 86941 was billed by 6 providers across 9,897 claims, totaling $149K in Medicaid payments from 2018–2024. This code was used for 9,050 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.26
Providers Billing
6
National Spending
$149K
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86941
| # | Provider | Total Paid |
|---|---|---|
| 1 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $143K |
| 2 | 1982625661 | $2K |
| 3 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $2K |
| 4 | 1558410217 | $1K |
| 5 | 1326061730 | $712 |
| 6 | 1881632107 | $127 |
Showing top 6 of 6 providers billing this code