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#1904 of 11K

87800

HCPCS Procedure Code

HCPCS code 87800 is the #1,904 most-billed Medicaid procedure code, with $11.9M in payments across 416K claims from 2018–2024. The national median cost per claim is $29.47.

Total Paid

$11.9M

0.00% of all spending

Total Claims

416K

Providers

248

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 87800? Based on 228 providers billing this code nationally.

Median

$29.47

Average

$28.69

Std Dev

$17.76

Max

$153.18

Percentile Distribution (Cost per Claim)

p10
$5.06
p25
$19.36
Median
$29.47
p75
$36.31
p90
$45.00
p95
$52.21
p99
$81.25

50% of providers bill between $19.36 and $36.31 per claim for this code.

90% bill between $5.06 and $45.00.

Top 1% bill above $81.25.

About This Procedure

HCPCS code 87800 was billed by 248 providers across 416K claims, totaling $11.9M in Medicaid payments from 2018–2024. This code was used for 397K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.47

Providers Billing

228

National Spending

$11.9M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87800

#ProviderTotal Paid
1Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$1.4M
21801826680$1.1M
3Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$1.0M
4Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$991K
5Health Network Laboratories, Llc

Allentown, PA · Clinical Medical Laboratory

$799K
6University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$313K
71619980430$268K
8New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$233K
91841339678$201K
101649407792$182K
111891812483$178K
121023083854$178K
131053896365$173K
14Richmond Medical Center

Staten Island, NY · Psychiatric Unit

$152K
151225316482$136K
161548230501$136K
171780633289$136K
181790780047$129K
191750467452$120K
20Doctors Hospital At Renaissance, Ltd

Edinburg, TX · Clinic/Center, Ambulatory Surgical

$118K

Showing top 20 of 248 providers billing this code