87542
HCPCS Procedure Code
HCPCS code 87542 is the #6,227 most-billed Medicaid procedure code, with $82K in payments across 8K claims from 2018–2024. The national median cost per claim is $6.71. Costs vary widely — the 90th percentile is $28.68 per claim, 4.3× the median.
Total Paid
$82K
0.00% of all spending
Total Claims
8K
Providers
7
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 87542? Based on 7 providers billing this code nationally.
Median
$6.71
Average
$12.57
Std Dev
$15.85
Max
$46.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.47 and $14.60 per claim for this code.
90% bill between $1.74 and $28.68.
Top 1% bill above $44.27.
About This Procedure
HCPCS code 87542 was billed by 7 providers across 8K claims, totaling $82K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.71
Providers Billing
7
National Spending
$82K
Avg/Median Ratio
1.87×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87542
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568868446 | $46K |
| 2 | Medarbor Llc Bristol, PA · Clinical Medical Laboratory | $18K |
| 3 | 1922551399 | $15K |
| 4 | 1073023487 | $1K |
| 5 | 1558808204 | $837 |
| 6 | 1376944793 | $494 |
| 7 | 1467464917 | $329 |
Showing top 7 of 7 providers billing this code