87172
HCPCS Procedure Code
HCPCS code 87172 is the #7,796 most-billed Medicaid procedure code, with $10K in payments across 5K claims from 2018–2024. The national median cost per claim is $2.27.
Total Paid
$10K
0.00% of all spending
Total Claims
5K
Providers
14
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 87172? Based on 14 providers billing this code nationally.
Median
$2.27
Average
$2.53
Std Dev
$0.84
Max
$4.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.04 and $3.10 per claim for this code.
90% bill between $1.52 and $3.59.
Top 1% bill above $4.06.
About This Procedure
HCPCS code 87172 was billed by 14 providers across 5K claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.27
Providers Billing
14
National Spending
$10K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87172
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $6K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1K |
| 3 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $495 |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $351 |
| 5 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $265 |
| 6 | 1700106291 | $247 |
| 7 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $202 |
| 8 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $177 |
| 9 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $157 |
| 10 | Permanente Medical Group Inc. Berkeley, CA · Clinical Medical Laboratory | $154 |
| 11 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $132 |
| 12 | 1154382075 | $74 |
| 13 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $67 |
| 14 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $36 |
Showing top 14 of 14 providers billing this code