87506
HCPCS Procedure Code
HCPCS code 87506 is the #1,931 most-billed Medicaid procedure code, with $11.4M in payments across 108K claims from 2018–2024. The national median cost per claim is $102.96. Costs vary widely — the 90th percentile is $224.09 per claim, 2.2× the median.
Total Paid
$11.4M
0.00% of all spending
Total Claims
108K
Providers
201
Avg Cost/Claim
$105
National Cost Distribution
How much do providers bill per claim for 87506? Based on 191 providers billing this code nationally.
Median
$102.96
Average
$121.70
Std Dev
$104.24
Max
$654.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $51.54 and $159.72 per claim for this code.
90% bill between $20.12 and $224.09.
Top 1% bill above $596.28.
About This Procedure
HCPCS code 87506 was billed by 201 providers across 108K claims, totaling $11.4M in Medicaid payments from 2018–2024. This code was used for 101K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$102.96
Providers Billing
191
National Spending
$11.4M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87506
| # | Provider | Total Paid |
|---|---|---|
| 1 | Permanente Medical Group Inc. Berkeley, CA · Clinical Medical Laboratory | $2.1M |
| 2 | 1245382753 | $749K |
| 3 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $732K |
| 4 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $663K |
| 5 | 1689630865 | $453K |
| 6 | 1619980430 | $351K |
| 7 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $270K |
| 8 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $256K |
| 9 | University Of Rochester Rochester, NY · General Acute Care Hospital | $243K |
| 10 | 1942641774 | $227K |
| 11 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $222K |
| 12 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $208K |
| 13 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $200K |
| 14 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $179K |
| 15 | 1710916945 | $175K |
| 16 | 1457354656 | $171K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $154K |
| 18 | 1326097833 | $144K |
| 19 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $139K |
| 20 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $138K |
Showing top 20 of 201 providers billing this code