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#4651 of 11K

87912

HCPCS Procedure Code

HCPCS code 87912 is the #4,651 most-billed Medicaid procedure code, with $468K in payments across 5K claims from 2018–2024. The national median cost per claim is $96.65.

Total Paid

$468K

0.00% of all spending

Total Claims

5K

Providers

12

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for 87912? Based on 11 providers billing this code nationally.

Median

$96.65

Average

$85.83

Std Dev

$60.58

Max

$175.40

Percentile Distribution (Cost per Claim)

p10
$13.06
p25
$31.96
Median
$96.65
p75
$126.14
p90
$164.63
p95
$170.02
p99
$174.33

50% of providers bill between $31.96 and $126.14 per claim for this code.

90% bill between $13.06 and $164.63.

Top 1% bill above $174.33.

About This Procedure

HCPCS code 87912 was billed by 12 providers across 5K claims, totaling $468K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$96.65

Providers Billing

11

National Spending

$468K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87912

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$203K
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$130K
31700512365$72K
41124130653$21K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$15K
6Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$15K
7Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$6K
81194971085$3K
91780620526$2K
10Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$423
11Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$359
121972503647$0

Showing top 12 of 12 providers billing this code