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#980 of 11K

87480

HCPCS Procedure Code

HCPCS code 87480 is the #980 most-billed Medicaid procedure code, with $51.6M in payments across 4.0M claims from 2018–2024. The national median cost per claim is $14.31.

Total Paid

$51.6M

0.00% of all spending

Total Claims

4.0M

Providers

1K

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 87480? Based on 1K providers billing this code nationally.

Median

$14.31

Average

$15.98

Std Dev

$14.42

Max

$244.97

Percentile Distribution (Cost per Claim)

p10
$3.24
p25
$9.53
Median
$14.31
p75
$18.63
p90
$24.65
p95
$35.16
p99
$72.45

50% of providers bill between $9.53 and $18.63 per claim for this code.

90% bill between $3.24 and $24.65.

Top 1% bill above $72.45.

About This Procedure

HCPCS code 87480 was billed by 1K providers across 4.0M claims, totaling $51.6M in Medicaid payments from 2018–2024. This code was used for 3.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.31

Providers Billing

1K

National Spending

$51.6M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87480

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1.9M
2Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$1.5M
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.1M
41174517353$803K
5Rochester General Hospital-lab

Rochester, NY · Clinical Medical Laboratory

$798K
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$778K
71801826680$765K
8Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$754K
9Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$725K
101598906166$722K
11Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$666K
121316983158$664K
131710916945$610K
14University Of Rochester

Rochester, NY · General Acute Care Hospital

$573K
15Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$558K
16Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$547K
17Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$536K
18Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$525K
191679518724$513K
201467586792$492K

Showing top 20 of 1K providers billing this code