Home › Billing code 86904
86904
Billing code 86904
HHS publishes no description for this code; it is likely a state-specific local code.
Medicaid paid $9K on code 86904 from 2018 through 2024, to 8 providers — the #7,831 code in the file by dollars. 55% of it was billed in California.
28Total paid$9K
24GClaims2,012
Paid per claim line$4.70
33Providers billing it8
Box 32 · Location
Where 86904 is billed
The largest of 5 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing 86904
| # | Provider | Location | Claims | Paid on 86904 |
|---|---|---|---|---|
| 1 | San Gorgonio Memorial Hospital | Banning, CA | 672 | $5K |
| 2 | Santos, Eric | Spring Valley, IL | 585 | $4K |
| 3 | ST. Margaret's Health - Spring Valley | Spring Valley, IL | 250 | $387.35 |
| 4 | Saint Francis Outreach Services LLC | Tulsa, OK | 14 | $188.16 |
| 5 | Governor Juan F. Luis Hospital & Medical Center | Christiansted, St. Croix, VI | 189 | $124.20 |
| 6 | PVCH Clinical Laboratory Medical Group INC | Pomona Valley, CA | 30 | $35.29 |
| 7 | Vi Pathology LLC | Christiansted, VI | 97 | $0.00 |
| 8 | Yale New Haven Hospital | New Haven, CT | 175 | $0.00 |