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#5016 of 11K

87181

HCPCS Procedure Code

HCPCS code 87181 is the #5,016 most-billed Medicaid procedure code, with $320K in payments across 95K claims from 2018–2024. The national median cost per claim is $2.74. Costs vary widely — the 90th percentile is $9.01 per claim, 3.3× the median.

Total Paid

$320K

0.00% of all spending

Total Claims

95K

Providers

165

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 87181? Based on 147 providers billing this code nationally.

Median

$2.74

Average

$4.44

Std Dev

$6.14

Max

$33.75

Percentile Distribution (Cost per Claim)

p10
$0.37
p25
$1.03
Median
$2.74
p75
$4.87
p90
$9.01
p95
$18.08
p99
$30.81

50% of providers bill between $1.03 and $4.87 per claim for this code.

90% bill between $0.37 and $9.01.

Top 1% bill above $30.81.

About This Procedure

HCPCS code 87181 was billed by 165 providers across 95K claims, totaling $320K in Medicaid payments from 2018–2024. This code was used for 82K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.74

Providers Billing

147

National Spending

$320K

Avg/Median Ratio

1.62×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 87181

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$53K
21053357244$25K
31710927231$20K
41073566246$19K
5Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$17K
61205800638$12K
71942378708$11K
8West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$11K
9Acutis Diagnostics Inc

Hicksville, NY · Clinical Medical Laboratory

$11K
101679879589$10K
111659755908$9K
12Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$7K
131053334755$7K
14Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$7K
151477596310$6K
161073985727$6K
171821101239$5K
18The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$5K
19Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$4K
201043475668$4K

Showing top 20 of 165 providers billing this code