#3845 of 11K

87084

HCPCS Procedure Code

HCPCS code 87084 is the #3,845 most-billed Medicaid procedure code, with $1.1M in payments across 62K claims from 2018–2024. The national median cost per claim is $6.29. Costs vary widely — the 90th percentile is $20.14 per claim, 3.2× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

62K

Providers

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 87084? Based on 41 providers billing this code nationally.

Median

$6.29

Average

$8.17

Std Dev

$7.12

Max

$24.81

Percentile Distribution (Cost per Claim)

p10

$0.42

p25

$3.15

Median

$6.29

p75

$10.86

p90

$20.14

p95

$22.56

p99

$24.63

50% of providers bill between $3.15 and $10.86 per claim for this code.

90% bill between $0.42 and $20.14.

Top 1% bill above $24.63.

About This Procedure

HCPCS code 87084 was billed by 49 providers across 62K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 55K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.29

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87084

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical	$950K	$22.56	3.6× median	Top 10%
2	1649220724	$38K	$8.67	1.4× median	Above Median
3	1376880815	$35K	$11.03	1.8× median	Above 75th
4	Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology	$22K	$9.39	1.5× median	Above Median
5	1194784983	$8K	$5.31	0.8× median	Below Median
6	1063441293	$5K	$6.29	1.0× median	Below Median
7	1639101199	$5K	$20.63	3.3× median	Top 10%
8	1790949584	$4K	$6.97	1.1× median	Above Median
9	1740441955	$4K	$4.14	0.7× median	Below Median
10	1124060843	$4K	$24.81	3.9× median	Top 1%
11	1487728127	$3K	$20.14	3.2× median	Top 10%
12	1982629440	$3K	$4.25	0.7× median	Below Median
13	Centers Lab Nj Llc Cedar Knolls, NJ · Clinical Medical Laboratory	$3K	$4.37	0.7× median	Below Median
14	1992733513	$3K	$6.28	1.0× median	Below Median
15	1619980430	$2K	$5.05	0.8× median	Below Median
16	1477510279	$1K	$4.23	0.7× median	Below Median
17	1497836340	$1K	$10.86	1.7× median	Above 75th
18	1659591824	$1K	$24.36	3.9× median	Top 10%
19	1922552892	$905	$8.96	1.4× median	Above Median
20	1871514372	$868	$2.25	0.4× median	Below Median

Showing top 20 of 49 providers billing this code

Related Procedures

87086Urine culture, colony count, with identification$287.7M 87081Culture screening for pathogenic organisms$103.9M 87088$87.1M 87077Bacterial culture, aerobic, additional methods required$75.2M 87075$8.4M

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