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#5289 of 11K

87593

HCPCS Procedure Code

HCPCS code 87593 is the #5,289 most-billed Medicaid procedure code, with $239K in payments across 11K claims from 2018–2024. The national median cost per claim is $31.39. Costs vary widely — the 90th percentile is $78.15 per claim, 2.5× the median.

Total Paid

$239K

0.00% of all spending

Total Claims

11K

Providers

54

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 87593? Based on 48 providers billing this code nationally.

Median

$31.39

Average

$39.64

Std Dev

$31.52

Max

$139.72

Percentile Distribution (Cost per Claim)

p10
$6.11
p25
$17.96
Median
$31.39
p75
$55.32
p90
$78.15
p95
$97.51
p99
$133.18

50% of providers bill between $17.96 and $55.32 per claim for this code.

90% bill between $6.11 and $78.15.

Top 1% bill above $133.18.

About This Procedure

HCPCS code 87593 was billed by 54 providers across 11K claims, totaling $239K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.39

Providers Billing

48

National Spending

$239K

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87593

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$70K
2Healthtrackrx Indiana, Inc

Denton, TX · Clinical Medical Laboratory

$60K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$18K
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$10K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$10K
6Sage River Counseling

Seattle, WA · Counselor Mental Health

$10K
7Multicare Health System

Tacoma, WA · Community/Behavioral Health

$6K
8Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$5K
91376548271$5K
10Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$4K
11University Of Rochester

Rochester, NY · General Acute Care Hospital

$3K
12Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$3K
13University Of Washington

Seattle, WA · Clinical Medical Laboratory

$3K
14St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$2K
151790470763$2K
16The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$2K
17Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$2K
18Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$2K
19University Of Washington

Seattle, WA · Clinic/Center, Dental

$2K
20Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$2K

Showing top 20 of 54 providers billing this code