87535
HCPCS Procedure Code
HCPCS code 87535 is the #2,645 most-billed Medicaid procedure code, with $4.4M in payments across 218K claims from 2018–2024. The national median cost per claim is $21.54.
Total Paid
$4.4M
0.00% of all spending
Total Claims
218K
Providers
134
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 87535? Based on 123 providers billing this code nationally.
Median
$21.54
Average
$28.06
Std Dev
$54.81
Max
$602.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.72 and $32.90 per claim for this code.
90% bill between $5.59 and $38.29.
Top 1% bill above $114.94.
About This Procedure
HCPCS code 87535 was billed by 134 providers across 218K claims, totaling $4.4M in Medicaid payments from 2018–2024. This code was used for 205K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.54
Providers Billing
123
National Spending
$4.4M
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87535
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $859K |
| 2 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $392K |
| 3 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $384K |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $289K |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $268K |
| 6 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $224K |
| 7 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $187K |
| 8 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $116K |
| 9 | 1447296272 | $102K |
| 10 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $78K |
| 11 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $76K |
| 12 | 1548208440 | $74K |
| 13 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $64K |
| 14 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $61K |
| 15 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $58K |
| 16 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $54K |
| 17 | The Lowell General Hospital Lowell, MA · Pharmacy, Institutional Pharmacy | $53K |
| 18 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $51K |
| 19 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $51K |
| 20 | 1033124961 | $51K |
Showing top 20 of 134 providers billing this code