#4267 of 11K

87652

HCPCS Procedure Code

HCPCS code 87652 is the #4,267 most-billed Medicaid procedure code, with $704K in payments across 72K claims from 2018–2024. The national median cost per claim is $10.60. Costs vary widely — the 90th percentile is $30.94 per claim, 2.9× the median.

Total Paid

$704K

0.00% of all spending

Total Claims

72K

Providers

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 87652? Based on 47 providers billing this code nationally.

Median

$10.60

Average

$13.51

Std Dev

$11.08

Max

$37.49

Percentile Distribution (Cost per Claim)

p10

$1.46

p25

$4.03

Median

$10.60

p75

$20.39

p90

$30.94

p95

$35.90

p99

$37.36

50% of providers bill between $4.03 and $20.39 per claim for this code.

90% bill between $1.46 and $30.94.

Top 1% bill above $37.36.

About This Procedure

HCPCS code 87652 was billed by 55 providers across 72K claims, totaling $704K in Medicaid payments from 2018–2024. This code was used for 64K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.60

Providers Billing

National Spending

$704K

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87652

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1811226749	$126K	$29.99	2.8× median	Above 75th
2	Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory	$102K	$19.41	1.8× median	Above Median
3	1235533779	$66K	$9.08	0.9× median	Below Median
4	1871960195	$47K	$37.22	3.5× median	Top 10%
5	1073776860	$47K	$9.07	0.9× median	Below Median
6	Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit	$35K	$20.31	1.9× median	Above Median
7	1568868446	$33K	$12.66	1.2× median	Above Median
8	1861913576	$30K	$8.86	0.8× median	Below Median
9	1073023487	$27K	$10.49	1.0× median	Below Median
10	St Lukes Roosevelt Hospital Center New York, NY · Case Management	$25K	$12.11	1.1× median	Above Median
11	1922099811	$25K	$23.67	2.2× median	Above 75th
12	1851966105	$20K	$4.09	0.4× median	Below Median
13	1124517784	$15K	$22.52	2.1× median	Above 75th
14	1033655303	$13K	$7.42	0.7× median	Below Median
15	1447272372	$11K	$34.56	3.3× median	Top 10%
16	1851392617	$9K	$24.81	2.3× median	Above 75th
17	1558808204	$9K	$3.76	0.4× median	Below Median
18	1568469997	$7K	$15.39	1.5× median	Above Median
19	1508247073	$7K	$20.48	1.9× median	Above 75th
20	1184201220	$6K	$1.60	0.2× median	Below Median

Showing top 20 of 55 providers billing this code

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87661Trichomonas vaginalis detection, nucleic acid, amplified probe$441.5M 87651Streptococcus Group A detection, nucleic acid, amplified probe$335.8M 87653$52.3M 87660$46.6M 87650$5.5M

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