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#7290 of 11K

87153

HCPCS Procedure Code

HCPCS code 87153 is the #7,290 most-billed Medicaid procedure code, with $22K in payments across 459 claims from 2018–2024. The national median cost per claim is $71.83.

Total Paid

$22K

0.00% of all spending

Total Claims

459

Providers

3

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 87153? Based on 3 providers billing this code nationally.

Median

$71.83

Average

$62.32

Std Dev

$27.53

Max

$83.83

Percentile Distribution (Cost per Claim)

p10
$39.40
p25
$51.56
Median
$71.83
p75
$77.83
p90
$81.43
p95
$82.63
p99
$83.59

50% of providers bill between $51.56 and $77.83 per claim for this code.

90% bill between $39.40 and $81.43.

Top 1% bill above $83.59.

About This Procedure

HCPCS code 87153 was billed by 3 providers across 459 claims, totaling $22K in Medicaid payments from 2018–2024. This code was used for 445 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$71.83

Providers Billing

3

National Spending

$22K

Avg/Median Ratio

0.87×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.