87158
HCPCS Procedure Code
HCPCS code 87158 is the #5,522 most-billed Medicaid procedure code, with $183K in payments across 38K claims from 2018–2024. The national median cost per claim is $3.83. Costs vary widely — the 90th percentile is $8.77 per claim, 2.3× the median.
Total Paid
$183K
0.00% of all spending
Total Claims
38K
Providers
25
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 87158? Based on 23 providers billing this code nationally.
Median
$3.83
Average
$4.29
Std Dev
$3.72
Max
$13.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.82 and $6.22 per claim for this code.
90% bill between $0.36 and $8.77.
Top 1% bill above $13.15.
About This Procedure
HCPCS code 87158 was billed by 25 providers across 38K claims, totaling $183K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.83
Providers Billing
23
National Spending
$183K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87158
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Rochester Rochester, NY · General Acute Care Hospital | $105K |
| 2 | Swedish Health Services Seattle, WA · General Acute Care Hospital | $18K |
| 3 | 1972548568 | $17K |
| 4 | 1942378708 | $11K |
| 5 | 1194776351 | $8K |
| 6 | 1033107214 | $7K |
| 7 | 1982625661 | $6K |
| 8 | 1104982743 | $2K |
| 9 | 1699894022 | $1K |
| 10 | 1033475959 | $1K |
| 11 | 1518913607 | $1K |
| 12 | U Of R Neurology Department Rochester, NY · Psychiatry & Neurology Neurology | $1K |
| 13 | 1356496582 | $763 |
| 14 | 1720030703 | $722 |
| 15 | 1013985399 | $652 |
| 16 | 1720041684 | $590 |
| 17 | 1790732360 | $161 |
| 18 | 1114903523 | $126 |
| 19 | Omega Diagnostics Llc Saint Francisville, LA · Clinical Medical Laboratory | $115 |
| 20 | 1821091067 | $75 |
Showing top 20 of 25 providers billing this code