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#2155 of 11K

87075

HCPCS Procedure Code

HCPCS code 87075 is the #2,155 most-billed Medicaid procedure code, with $8.4M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $4.65. Costs vary widely — the 90th percentile is $10.75 per claim, 2.3× the median.

Total Paid

$8.4M

0.00% of all spending

Total Claims

1.5M

Providers

1K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 87075? Based on 1K providers billing this code nationally.

Median

$4.65

Average

$6.48

Std Dev

$12.34

Max

$189.13

Percentile Distribution (Cost per Claim)

p10
$0.60
p25
$1.51
Median
$4.65
p75
$7.08
p90
$10.75
p95
$17.16
p99
$59.70

50% of providers bill between $1.51 and $7.08 per claim for this code.

90% bill between $0.60 and $10.75.

Top 1% bill above $59.70.

About This Procedure

HCPCS code 87075 was billed by 1K providers across 1.5M claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.65

Providers Billing

1K

National Spending

$8.4M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87075

#ProviderTotal Paid
1Spartanburg Medical Center

Spartanburg, SC · Ambulance

$653K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$400K
3Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$345K
4Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$210K
5Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$197K
6Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$190K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$168K
8Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$140K
9Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$133K
101396129201$130K
11Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$127K
12Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$124K
131982800397$119K
141205307378$109K
151134195357$105K
161598747651$96K
171316983158$94K
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$93K
19Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$93K
201265418669$85K

Showing top 20 of 1K providers billing this code