Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2570 of 11K

70487

HCPCS Procedure Code

HCPCS code 70487 is the #2,570 most-billed Medicaid procedure code, with $4.9M in payments across 40K claims from 2018–2024. The national median cost per claim is $87.87. Costs vary widely — the 90th percentile is $376.64 per claim, 4.3× the median.

Total Paid

$4.9M

0.00% of all spending

Total Claims

40K

Providers

158

Avg Cost/Claim

$123

National Cost Distribution

How much do providers bill per claim for 70487? Based on 154 providers billing this code nationally.

Median

$87.87

Average

$154.32

Std Dev

$146.33

Max

$654.98

Percentile Distribution (Cost per Claim)

p10
$30.83
p25
$35.42
Median
$87.87
p75
$254.67
p90
$376.64
p95
$440.55
p99
$555.26

50% of providers bill between $35.42 and $254.67 per claim for this code.

90% bill between $30.83 and $376.64.

Top 1% bill above $555.26.

About This Procedure

HCPCS code 70487 was billed by 158 providers across 40K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$87.87

Providers Billing

154

National Spending

$4.9M

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 70487

#ProviderTotal Paid
1Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$553K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$319K
3Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$259K
41275566200$206K
5Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$175K
6Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$154K
7Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$141K
8Banner Thunderbird Medical Center

Glendale, AZ · Community/Behavioral Health

$127K
9Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$123K
10Sage River Counseling

Seattle, WA · Counselor Mental Health

$121K
11Multicare Health System

Tacoma, WA · Community/Behavioral Health

$120K
121740283324$119K
13Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$112K
141699874248$108K
15Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$107K
16Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$96K
17Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$95K
181437197985$92K
19Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$84K
20Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$83K

Showing top 20 of 158 providers billing this code