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#6660 of 11K

87385

HCPCS Procedure Code

HCPCS code 87385 is the #6,660 most-billed Medicaid procedure code, with $49K in payments across 4K claims from 2018–2024. The national median cost per claim is $9.19.

Total Paid

$49K

0.00% of all spending

Total Claims

4K

Providers

22

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 87385? Based on 22 providers billing this code nationally.

Median

$9.19

Average

$9.95

Std Dev

$6.75

Max

$27.82

Percentile Distribution (Cost per Claim)

p10
$2.08
p25
$5.46
Median
$9.19
p75
$12.22
p90
$18.37
p95
$20.58
p99
$26.32

50% of providers bill between $5.46 and $12.22 per claim for this code.

90% bill between $2.08 and $18.37.

Top 1% bill above $26.32.

About This Procedure

HCPCS code 87385 was billed by 22 providers across 4K claims, totaling $49K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.19

Providers Billing

22

National Spending

$49K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87385

#ProviderTotal Paid
11891873303$15K
21770529513$12K
3University Of Kentucky

Lexington, KY · General Acute Care Hospital

$7K
41376548271$6K
51073587937$1K
61457354656$1K
7Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$1K
81356307581$903
91669430773$694
10Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$623
11Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$557
12University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$423
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$421
141285715144$334
151235186800$269
161083249577$222
17Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$220
18A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$144
19Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$133
20Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$69

Showing top 20 of 22 providers billing this code