87185
HCPCS Procedure Code
HCPCS code 87185 is the #5,253 most-billed Medicaid procedure code, with $249K in payments across 90K claims from 2018–2024. The national median cost per claim is $2.53.
Total Paid
$249K
0.00% of all spending
Total Claims
90K
Providers
156
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 87185? Based on 145 providers billing this code nationally.
Median
$2.53
Average
$5.34
Std Dev
$23.76
Max
$274.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.06 and $3.93 per claim for this code.
90% bill between $0.30 and $4.82.
Top 1% bill above $60.62.
About This Procedure
HCPCS code 87185 was billed by 156 providers across 90K claims, totaling $249K in Medicaid payments from 2018–2024. This code was used for 82K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.53
Providers Billing
145
National Spending
$249K
Avg/Median Ratio
2.11×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 87185
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760568752 | $41K |
| 2 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $32K |
| 3 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $13K |
| 4 | 1396287082 | $13K |
| 5 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $10K |
| 6 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $8K |
| 7 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $8K |
| 8 | 1811091408 | $7K |
| 9 | 1891873303 | $7K |
| 10 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $6K |
| 11 | Stamford Hospital Stamford, CT · Hospitalist | $5K |
| 12 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $5K |
| 13 | 1881788933 | $5K |
| 14 | 1851446611 | $5K |
| 15 | 1316983158 | $4K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $4K |
| 17 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $4K |
| 18 | 1740460583 | $4K |
| 19 | 1346244126 | $3K |
| 20 | 1548208440 | $3K |
Showing top 20 of 156 providers billing this code