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#2178 of 11K

G2086

HCPCS Procedure Code

HCPCS code G2086 is the #2,178 most-billed Medicaid procedure code, with $8.2M in payments across 18K claims from 2018–2024. The national median cost per claim is $147.44. Costs vary widely — the 90th percentile is $365.34 per claim, 2.5× the median.

Total Paid

$8.2M

0.00% of all spending

Total Claims

18K

Providers

23

Avg Cost/Claim

$457

National Cost Distribution

How much do providers bill per claim for G2086? Based on 19 providers billing this code nationally.

Median

$147.44

Average

$185.51

Std Dev

$157.12

Max

$568.56

Percentile Distribution (Cost per Claim)

p10
$43.33
p25
$51.80
Median
$147.44
p75
$223.27
p90
$365.34
p95
$528.30
p99
$560.51

50% of providers bill between $51.80 and $223.27 per claim for this code.

90% bill between $43.33 and $365.34.

Top 1% bill above $560.51.

About This Procedure

HCPCS code G2086 was billed by 23 providers across 18K claims, totaling $8.2M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$147.44

Providers Billing

19

National Spending

$8.2M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G2086

#ProviderTotal Paid
11346736758$7.6M
21972008266$354K
31801032396$62K
41487185153$31K
51730577305$23K
61962590158$15K
71730676487$9K
81689772576$8K
91174678742$7K
101477186336$4K
111649733148$4K
121730754102$4K
131821316290$3K
141073043824$2K
151104860865$2K
161013425503$2K
171568834216$2K
181194342162$1K
191518256650$822
201114033826$0

Showing top 20 of 23 providers billing this code