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#6125 of 11K

87230

HCPCS Procedure Code

HCPCS code 87230 is the #6,125 most-billed Medicaid procedure code, with $93K in payments across 11K claims from 2018–2024. The national median cost per claim is $9.14.

Total Paid

$93K

0.00% of all spending

Total Claims

11K

Providers

28

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 87230? Based on 28 providers billing this code nationally.

Median

$9.14

Average

$9.45

Std Dev

$4.81

Max

$19.34

Percentile Distribution (Cost per Claim)

p10
$2.99
p25
$6.39
Median
$9.14
p75
$13.13
p90
$15.29
p95
$16.38
p99
$18.62

50% of providers bill between $6.39 and $13.13 per claim for this code.

90% bill between $2.99 and $15.29.

Top 1% bill above $18.62.

About This Procedure

HCPCS code 87230 was billed by 28 providers across 11K claims, totaling $93K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.14

Providers Billing

28

National Spending

$93K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87230

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$32K
2Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$17K
31124130653$7K
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$5K
5Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$4K
61902131857$4K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$3K
8Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$3K
91447233861$3K
101780620526$2K
11Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$2K
121649767948$2K
131477596310$1K
141184089492$1K
15Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$1K
16Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$970
17Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$562
18Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$483
191487739447$449
201629007430$386

Showing top 20 of 28 providers billing this code

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