87430
HCPCS Procedure Code
HCPCS code 87430 is the #1,079 most-billed Medicaid procedure code, with $42.5M in payments across 3.9M claims from 2018–2024. The national median cost per claim is $9.41.
Total Paid
$42.5M
0.00% of all spending
Total Claims
3.9M
Providers
3K
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 87430? Based on 2K providers billing this code nationally.
Median
$9.41
Average
$11.78
Std Dev
$25.57
Max
$578.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.53 and $13.63 per claim for this code.
90% bill between $0.50 and $16.82.
Top 1% bill above $78.24.
About This Procedure
HCPCS code 87430 was billed by 3K providers across 3.9M claims, totaling $42.5M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.41
Providers Billing
2K
National Spending
$42.5M
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87430
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $4.0M |
| 2 | 1205882503 | $1.7M |
| 3 | 1376508788 | $806K |
| 4 | 1396731105 | $776K |
| 5 | 1609066257 | $726K |
| 6 | Mcallen Hospitals L P Edinburg, TX · General Acute Care Hospital | $603K |
| 7 | 1497744254 | $598K |
| 8 | 1205284411 | $544K |
| 9 | 1548287584 | $422K |
| 10 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $394K |
| 11 | 1700831724 | $383K |
| 12 | 1407013121 | $348K |
| 13 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $339K |
| 14 | 1144274226 | $323K |
| 15 | 1265756951 | $315K |
| 16 | 1386874550 | $308K |
| 17 | 1205883980 | $308K |
| 18 | 1154618742 | $297K |
| 19 | 1457309247 | $297K |
| 20 | 1154400232 | $292K |
Showing top 20 of 3K providers billing this code