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#2122 of 11K

87505

HCPCS Procedure Code

HCPCS code 87505 is the #2,122 most-billed Medicaid procedure code, with $8.7M in payments across 110K claims from 2018–2024. The national median cost per claim is $62.35.

Total Paid

$8.7M

0.00% of all spending

Total Claims

110K

Providers

188

Avg Cost/Claim

$80

National Cost Distribution

How much do providers bill per claim for 87505? Based on 174 providers billing this code nationally.

Median

$62.35

Average

$71.80

Std Dev

$60.08

Max

$413.64

Percentile Distribution (Cost per Claim)

p10
$9.10
p25
$31.16
Median
$62.35
p75
$103.45
p90
$120.70
p95
$147.47
p99
$328.39

50% of providers bill between $31.16 and $103.45 per claim for this code.

90% bill between $9.10 and $120.70.

Top 1% bill above $328.39.

About This Procedure

HCPCS code 87505 was billed by 188 providers across 110K claims, totaling $8.7M in Medicaid payments from 2018–2024. This code was used for 102K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.35

Providers Billing

174

National Spending

$8.7M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87505

#ProviderTotal Paid
11396813861$778K
21891873303$605K
31245382753$483K
4Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$463K
51396287082$378K
6Tricore Reference Laboratories

Albuquerque, NM · Clinical Medical Laboratory

$357K
71356496772$270K
8Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$259K
91013062769$230K
10Multicare Health System

Tacoma, WA · Community/Behavioral Health

$202K
11Tricore Inc.

Albuquerque, NM · Clinical Medical Laboratory

$201K
12The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$197K
131376698043$184K
141306991211$181K
15Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$164K
16Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$153K
17Kaiser Foundation Hospitals

Downey, CA · General Acute Care Hospital

$146K
18University Of Rochester

Rochester, NY · General Acute Care Hospital

$139K
191134274897$135K
20Kaiser Foundation Hospitals

Baldwin Park, CA · General Acute Care Hospital

$126K

Showing top 20 of 188 providers billing this code