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#4306 of 11K

87149

HCPCS Procedure Code

HCPCS code 87149 is the #4,306 most-billed Medicaid procedure code, with $678K in payments across 54K claims from 2018–2024. The national median cost per claim is $8.78. Costs vary widely — the 90th percentile is $34.53 per claim, 3.9× the median.

Total Paid

$678K

0.00% of all spending

Total Claims

54K

Providers

80

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 87149? Based on 70 providers billing this code nationally.

Median

$8.78

Average

$16.80

Std Dev

$23.89

Max

$121.87

Percentile Distribution (Cost per Claim)

p10
$1.51
p25
$3.56
Median
$8.78
p75
$21.27
p90
$34.53
p95
$61.93
p99
$119.87

50% of providers bill between $3.56 and $21.27 per claim for this code.

90% bill between $1.51 and $34.53.

Top 1% bill above $119.87.

About This Procedure

HCPCS code 87149 was billed by 80 providers across 54K claims, totaling $678K in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.78

Providers Billing

70

National Spending

$678K

Avg/Median Ratio

1.91×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 87149

#ProviderTotal Paid
11164775862$328K
2Multicare Health System

Tacoma, WA · Community/Behavioral Health

$88K
31871522680$51K
4Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$36K
51841799764$18K
61568431088$14K
71730119553$12K
81811081797$11K
91740413798$9K
101194740787$7K
111316241102$7K
121003985755$7K
13Dignity Health

Phoenix, AZ · Rehabilitation Unit

$6K
141144277633$6K
15Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$6K
161326564071$5K
171356528269$5K
181154818326$5K
191407025802$5K
201255313664$4K

Showing top 20 of 80 providers billing this code