87073
HCPCS Procedure Code
HCPCS code 87073 is the #6,744 most-billed Medicaid procedure code, with $45K in payments across 15K claims from 2018–2024. The national median cost per claim is $1.97. Costs vary widely — the 90th percentile is $10.18 per claim, 5.2× the median.
Total Paid
$45K
0.00% of all spending
Total Claims
15K
Providers
39
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 87073? Based on 34 providers billing this code nationally.
Median
$1.97
Average
$4.16
Std Dev
$5.05
Max
$24.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.93 and $5.23 per claim for this code.
90% bill between $0.29 and $10.18.
Top 1% bill above $20.57.
About This Procedure
HCPCS code 87073 was billed by 39 providers across 15K claims, totaling $45K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.97
Providers Billing
34
National Spending
$45K
Avg/Median Ratio
2.11×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 87073
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1629007430 | $15K |
| 2 | 1205056371 | $6K |
| 3 | Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical | $5K |
| 4 | 1861404121 | $4K |
| 5 | 1619039047 | $4K |
| 6 | 1477610640 | $2K |
| 7 | 1578587150 | $1K |
| 8 | 1710951801 | $1K |
| 9 | 1366097032 | $950 |
| 10 | 1083712525 | $747 |
| 11 | 1093712689 | $638 |
| 12 | 1316970932 | $628 |
| 13 | 1326434291 | $611 |
| 14 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $583 |
| 15 | 1033123377 | $555 |
| 16 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $468 |
| 17 | 1366518102 | $409 |
| 18 | 1265818488 | $351 |
| 19 | 1750766762 | $348 |
| 20 | 1730119553 | $287 |
Showing top 20 of 39 providers billing this code