Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1620 of 11K

87517

HCPCS Procedure Code

HCPCS code 87517 is the #1,620 most-billed Medicaid procedure code, with $17.6M in payments across 777K claims from 2018–2024. The national median cost per claim is $27.01.

Total Paid

$17.6M

0.00% of all spending

Total Claims

777K

Providers

328

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 87517? Based on 309 providers billing this code nationally.

Median

$27.01

Average

$29.78

Std Dev

$23.77

Max

$218.83

Percentile Distribution (Cost per Claim)

p10
$7.04
p25
$17.69
Median
$27.01
p75
$37.76
p90
$44.68
p95
$55.43
p99
$110.98

50% of providers bill between $17.69 and $37.76 per claim for this code.

90% bill between $7.04 and $44.68.

Top 1% bill above $110.98.

About This Procedure

HCPCS code 87517 was billed by 328 providers across 777K claims, totaling $17.6M in Medicaid payments from 2018–2024. This code was used for 750K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.01

Providers Billing

309

National Spending

$17.6M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87517

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$2.7M
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.5M
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.3M
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$762K
5Permanente Medical Group Inc.

Berkeley, CA · Clinical Medical Laboratory

$522K
6Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$432K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$402K
8Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$383K
91487739447$308K
101215930987$294K
111568454494$287K
12Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$287K
13Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$256K
141396813861$251K
15Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$232K
16Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$228K
17Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$224K
18The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$189K
19Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$184K
20Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$177K

Showing top 20 of 328 providers billing this code