87490
HCPCS Procedure Code
HCPCS code 87490 is the #2,166 most-billed Medicaid procedure code, with $8.3M in payments across 520K claims from 2018–2024. The national median cost per claim is $15.09.
Total Paid
$8.3M
0.00% of all spending
Total Claims
520K
Providers
229
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 87490? Based on 188 providers billing this code nationally.
Median
$15.09
Average
$13.24
Std Dev
$13.91
Max
$151.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.63 and $19.18 per claim for this code.
90% bill between $0.23 and $22.13.
Top 1% bill above $36.19.
About This Procedure
HCPCS code 87490 was billed by 229 providers across 520K claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 480K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.09
Providers Billing
188
National Spending
$8.3M
Avg/Median Ratio
0.88×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87490
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225016140 | $3.7M |
| 2 | 1942226006 | $816K |
| 3 | Alameda Health System Oakland, CA · General Acute Care Hospital | $455K |
| 4 | Tarrant County Hospital District Fort Worth, TX · Clinic/Center, Ambulatory Family Planning Facility | $407K |
| 5 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $387K |
| 6 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $365K |
| 7 | 1447233861 | $183K |
| 8 | 1164402038 | $178K |
| 9 | 1184642779 | $151K |
| 10 | 1932146461 | $146K |
| 11 | 1215981303 | $137K |
| 12 | 1780830737 | $129K |
| 13 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $106K |
| 14 | 1043204316 | $78K |
| 15 | 1154443034 | $72K |
| 16 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $70K |
| 17 | 1578677811 | $69K |
| 18 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $64K |
| 19 | 1366413932 | $57K |
| 20 | Integrated Regional Laboratories Pathology Services Llc Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology | $50K |
Showing top 20 of 229 providers billing this code