87209
HCPCS Procedure Code
HCPCS code 87209 is the #2,005 most-billed Medicaid procedure code, with $10.3M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $11.62.
Total Paid
$10.3M
0.00% of all spending
Total Claims
1.1M
Providers
399
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 87209? Based on 368 providers billing this code nationally.
Median
$11.62
Average
$13.11
Std Dev
$14.35
Max
$170.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.37 and $16.05 per claim for this code.
90% bill between $3.08 and $20.50.
Top 1% bill above $54.76.
About This Procedure
HCPCS code 87209 was billed by 399 providers across 1.1M claims, totaling $10.3M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.62
Providers Billing
368
National Spending
$10.3M
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87209
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $909K |
| 2 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $694K |
| 3 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $648K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $514K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $490K |
| 6 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $436K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $413K |
| 8 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $234K |
| 9 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $230K |
| 10 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $227K |
| 11 | 1972588978 | $221K |
| 12 | 1265418669 | $197K |
| 13 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $194K |
| 14 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $175K |
| 15 | 1891731626 | $173K |
| 16 | 1316983158 | $169K |
| 17 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $166K |
| 18 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $165K |
| 19 | 1649767948 | $162K |
| 20 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $153K |
Showing top 20 of 399 providers billing this code