87581
HCPCS Procedure Code
HCPCS code 87581 is the #796 most-billed Medicaid procedure code, with $78.4M in payments across 4.4M claims from 2018–2024. The national median cost per claim is $17.13. Costs vary widely — the 90th percentile is $37.34 per claim, 2.2× the median.
Total Paid
$78.4M
0.01% of all spending
Total Claims
4.4M
Providers
2K
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 87581? Based on 2K providers billing this code nationally.
Median
$17.13
Average
$21.15
Std Dev
$35.84
Max
$784.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.66 and $28.01 per claim for this code.
90% bill between $1.25 and $37.34.
Top 1% bill above $110.67.
About This Procedure
HCPCS code 87581 was billed by 2K providers across 4.4M claims, totaling $78.4M in Medicaid payments from 2018–2024. This code was used for 3.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.13
Providers Billing
2K
National Spending
$78.4M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87581
| # | Provider | Total Paid |
|---|---|---|
| 1 | Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory | $8.6M |
| 2 | Physicians Group Laboratories, Llc Houma, LA · Clinical Medical Laboratory | $4.7M |
| 3 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $4.6M |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $2.7M |
| 5 | 1255875746 | $2.3M |
| 6 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $2.3M |
| 7 | 1053721373 | $1.4M |
| 8 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $1.3M |
| 9 | 1598266421 | $1.3M |
| 10 | 1861900698 | $1.3M |
| 11 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.3M |
| 12 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $1.2M |
| 13 | 1649829987 | $1.1M |
| 14 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $1.1M |
| 15 | Newyork-presbyterian-queens Flushing, NY · General Acute Care Hospital | $1.0M |
| 16 | Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical | $944K |
| 17 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $915K |
| 18 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $854K |
| 19 | 1033239413 | $817K |
| 20 | 1730582594 | $766K |
Showing top 20 of 2K providers billing this code