87551
HCPCS Procedure Code
HCPCS code 87551 is the #4,028 most-billed Medicaid procedure code, with $918K in payments across 71K claims from 2018–2024. The national median cost per claim is $7.15. Costs vary widely — the 90th percentile is $35.45 per claim, 5.0× the median.
Total Paid
$918K
0.00% of all spending
Total Claims
71K
Providers
55
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 87551? Based on 51 providers billing this code nationally.
Median
$7.15
Average
$15.01
Std Dev
$20.37
Max
$87.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.03 and $20.43 per claim for this code.
90% bill between $0.41 and $35.45.
Top 1% bill above $84.43.
About This Procedure
HCPCS code 87551 was billed by 55 providers across 71K claims, totaling $918K in Medicaid payments from 2018–2024. This code was used for 57K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.15
Providers Billing
51
National Spending
$918K
Avg/Median Ratio
2.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 87551
| # | Provider | Total Paid |
|---|---|---|
| 1 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $395K |
| 2 | 1457977209 | $156K |
| 3 | 1770973646 | $102K |
| 4 | 1053686964 | $102K |
| 5 | 1154942837 | $17K |
| 6 | 1780059717 | $17K |
| 7 | 1619488418 | $16K |
| 8 | 1265854855 | $13K |
| 9 | 1083962294 | $12K |
| 10 | 1174137368 | $11K |
| 11 | 1568868446 | $10K |
| 12 | 1558808204 | $9K |
| 13 | Rca Laboratory Services, Llc Glen Allen, VA · Clinical Medical Laboratory | $8K |
| 14 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $8K |
| 15 | 1972971265 | $7K |
| 16 | 1093294746 | $6K |
| 17 | 1730617523 | $4K |
| 18 | 1164523478 | $3K |
| 19 | 1225554843 | $3K |
| 20 | 1407113020 | $2K |
Showing top 20 of 55 providers billing this code