87168
HCPCS Procedure Code
HCPCS code 87168 is the #7,698 most-billed Medicaid procedure code, with $12K in payments across 7K claims from 2018–2024. The national median cost per claim is $1.43. Costs vary widely — the 90th percentile is $4.09 per claim, 2.9× the median.
Total Paid
$12K
0.00% of all spending
Total Claims
7K
Providers
19
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 87168? Based on 19 providers billing this code nationally.
Median
$1.43
Average
$2.07
Std Dev
$1.50
Max
$5.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.94 and $3.00 per claim for this code.
90% bill between $0.69 and $4.09.
Top 1% bill above $5.42.
About This Procedure
HCPCS code 87168 was billed by 19 providers across 7K claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.43
Providers Billing
19
National Spending
$12K
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87168
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $4K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $2K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1K |
| 4 | 1558319103 | $1K |
| 5 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $1K |
| 6 | 1841592664 | $420 |
| 7 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $365 |
| 8 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $358 |
| 9 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $287 |
| 10 | 1124130653 | $273 |
| 11 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $227 |
| 12 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $209 |
| 13 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $146 |
| 14 | 1780620526 | $118 |
| 15 | 1447296272 | $99 |
| 16 | 1114239068 | $45 |
| 17 | 1467041442 | $41 |
| 18 | 1396833026 | $14 |
| 19 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $10 |
Showing top 19 of 19 providers billing this code