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#3351 of 11K

87015

HCPCS Procedure Code

HCPCS code 87015 is the #3,351 most-billed Medicaid procedure code, with $1.9M in payments across 363K claims from 2018–2024. The national median cost per claim is $3.48. Costs vary widely — the 90th percentile is $9.18 per claim, 2.6× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

363K

Providers

451

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 87015? Based on 417 providers billing this code nationally.

Median

$3.48

Average

$6.75

Std Dev

$18.73

Max

$219.50

Percentile Distribution (Cost per Claim)

p10
$0.54
p25
$1.42
Median
$3.48
p75
$5.38
p90
$9.18
p95
$15.81
p99
$84.04

50% of providers bill between $1.42 and $5.38 per claim for this code.

90% bill between $0.54 and $9.18.

Top 1% bill above $84.04.

About This Procedure

HCPCS code 87015 was billed by 451 providers across 363K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 271K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.48

Providers Billing

417

National Spending

$1.9M

Avg/Median Ratio

1.94×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 87015

#ProviderTotal Paid
11437135902$275K
21801826680$108K
3Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$107K
4Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$55K
51679660617$54K
61144228446$53K
7University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$46K
81134195357$39K
9Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$38K
101639197395$33K
11Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$32K
121215917588$28K
13The Miriam Hospital

Providence, RI · General Acute Care Hospital

$26K
141922008150$25K
151457354656$25K
161477602639$24K
17West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$22K
181154432458$22K
191790781110$22K
20Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$19K

Showing top 20 of 451 providers billing this code