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#1845 of 11K

87625

HCPCS Procedure Code

HCPCS code 87625 is the #1,845 most-billed Medicaid procedure code, with $12.8M in payments across 700K claims from 2018–2024. The national median cost per claim is $20.47.

Total Paid

$12.8M

0.00% of all spending

Total Claims

700K

Providers

419

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 87625? Based on 377 providers billing this code nationally.

Median

$20.47

Average

$21.01

Std Dev

$15.23

Max

$146.55

Percentile Distribution (Cost per Claim)

p10
$3.65
p25
$11.58
Median
$20.47
p75
$28.07
p90
$34.41
p95
$40.03
p99
$64.63

50% of providers bill between $11.58 and $28.07 per claim for this code.

90% bill between $3.65 and $34.41.

Top 1% bill above $64.63.

About This Procedure

HCPCS code 87625 was billed by 419 providers across 700K claims, totaling $12.8M in Medicaid payments from 2018–2024. This code was used for 628K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.47

Providers Billing

377

National Spending

$12.8M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87625

#ProviderTotal Paid
11710916945$1.1M
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$872K
3Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$805K
4Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$783K
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$648K
6Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$310K
71174009245$261K
8Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$257K
9Associated Pathologists, Llc

Nashville, TN · Medical Genetics, Clinical Genetics (M.D.)

$248K
101942378708$239K
11Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$221K
12Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$211K
13Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$191K
141407060411$157K
15Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$157K
16Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$151K
171801826680$149K
181063498517$143K
191124075635$139K
20Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$127K

Showing top 20 of 419 providers billing this code