87154
HCPCS Procedure Code
HCPCS code 87154 is the #6,474 most-billed Medicaid procedure code, with $62K in payments across 2K claims from 2018–2024. The national median cost per claim is $25.22. Costs vary widely — the 90th percentile is $139.31 per claim, 5.5× the median.
Total Paid
$62K
0.00% of all spending
Total Claims
2K
Providers
31
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for 87154? Based on 18 providers billing this code nationally.
Median
$25.22
Average
$51.14
Std Dev
$55.51
Max
$175.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.42 and $81.02 per claim for this code.
90% bill between $6.04 and $139.31.
Top 1% bill above $171.31.
About This Procedure
HCPCS code 87154 was billed by 31 providers across 2K claims, totaling $62K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.22
Providers Billing
18
National Spending
$62K
Avg/Median Ratio
2.03×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 87154
| # | Provider | Total Paid |
|---|---|---|
| 1 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $10K |
| 2 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $9K |
| 3 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $9K |
| 4 | 1942257191 | $7K |
| 5 | 1710913462 | $6K |
| 6 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $6K |
| 7 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $6K |
| 8 | Dayton Osteopathic Hospital Dayton, OH · General Acute Care Hospital | $3K |
| 9 | 1255313664 | $2K |
| 10 | 1699720086 | $921 |
| 11 | 1649220872 | $779 |
| 12 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $731 |
| 13 | 1144277633 | $478 |
| 14 | 1104870187 | $369 |
| 15 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $356 |
| 16 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $313 |
| 17 | 1831188275 | $230 |
| 18 | 1285739938 | $5 |
| 19 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $0 |
| 20 | 1144228446 | $0 |
Showing top 20 of 31 providers billing this code