87207
HCPCS Procedure Code
HCPCS code 87207 is the #5,864 most-billed Medicaid procedure code, with $127K in payments across 25K claims from 2018–2024. The national median cost per claim is $3.35. Costs vary widely — the 90th percentile is $10.82 per claim, 3.2× the median.
Total Paid
$127K
0.00% of all spending
Total Claims
25K
Providers
100
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 87207? Based on 93 providers billing this code nationally.
Median
$3.35
Average
$6.61
Std Dev
$17.03
Max
$155.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.43 and $5.66 per claim for this code.
90% bill between $0.36 and $10.82.
Top 1% bill above $62.74.
About This Procedure
HCPCS code 87207 was billed by 100 providers across 25K claims, totaling $127K in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.35
Providers Billing
93
National Spending
$127K
Avg/Median Ratio
1.97×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87207
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $38K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $14K |
| 3 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $6K |
| 4 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $6K |
| 5 | 1225087190 | $6K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $6K |
| 7 | 1235186800 | $5K |
| 8 | 1427007384 | $4K |
| 9 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $4K |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $4K |
| 11 | 1598870800 | $3K |
| 12 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $3K |
| 13 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $3K |
| 14 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $3K |
| 15 | 1033475959 | $2K |
| 16 | 1134206386 | $2K |
| 17 | Lawrence And Memorial Hospital, Inc. New London, CT · Internal Medicine | $1K |
| 18 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1K |
| 19 | 1831116441 | $1K |
| 20 | 1124422126 | $909 |
Showing top 20 of 100 providers billing this code