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#3064 of 11K

87102

HCPCS Procedure Code

HCPCS code 87102 is the #3,064 most-billed Medicaid procedure code, with $2.6M in payments across 525K claims from 2018–2024. The national median cost per claim is $4.04. Costs vary widely — the 90th percentile is $9.98 per claim, 2.5× the median.

Total Paid

$2.6M

0.00% of all spending

Total Claims

525K

Providers

518

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 87102? Based on 486 providers billing this code nationally.

Median

$4.04

Average

$5.73

Std Dev

$9.97

Max

$186.74

Percentile Distribution (Cost per Claim)

p10
$0.80
p25
$1.85
Median
$4.04
p75
$6.92
p90
$9.98
p95
$13.59
p99
$30.95

50% of providers bill between $1.85 and $6.92 per claim for this code.

90% bill between $0.80 and $9.98.

Top 1% bill above $30.95.

About This Procedure

HCPCS code 87102 was billed by 518 providers across 525K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 471K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.04

Providers Billing

486

National Spending

$2.6M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87102

#ProviderTotal Paid
1Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$135K
2Summa Health System

Akron, OH · General Acute Care Hospital

$122K
3Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$120K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$114K
5University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$88K
6Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$65K
7University Of Kentucky

Lexington, KY · General Acute Care Hospital

$63K
8Permanente Medical Group Inc.

Berkeley, CA · Clinical Medical Laboratory

$63K
9Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$54K
101457354656$52K
11Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$41K
12Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$37K
131558392563$36K
14Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$35K
15Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$35K
161932414463$34K
17The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$34K
181891873303$33K
191619980430$30K
20State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$28K

Showing top 20 of 518 providers billing this code