87109
HCPCS Procedure Code
HCPCS code 87109 is the #4,130 most-billed Medicaid procedure code, with $821K in payments across 103K claims from 2018–2024. The national median cost per claim is $8.72.
Total Paid
$821K
0.00% of all spending
Total Claims
103K
Providers
109
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 87109? Based on 109 providers billing this code nationally.
Median
$8.72
Average
$9.14
Std Dev
$5.37
Max
$27.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.61 and $12.03 per claim for this code.
90% bill between $2.87 and $15.02.
Top 1% bill above $25.32.
About This Procedure
HCPCS code 87109 was billed by 109 providers across 103K claims, totaling $821K in Medicaid payments from 2018–2024. This code was used for 97K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.72
Providers Billing
109
National Spending
$821K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87109
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $219K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $126K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $57K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $56K |
| 5 | 1770973646 | $32K |
| 6 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $30K |
| 7 | Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory | $22K |
| 8 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $21K |
| 9 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $20K |
| 10 | 1346285988 | $18K |
| 11 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $15K |
| 12 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $13K |
| 13 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $13K |
| 14 | 1932414463 | $12K |
| 15 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $11K |
| 16 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $9K |
| 17 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $9K |
| 18 | Kern County Hospital Authority Bakersfield, CA · General Acute Care Hospital | $8K |
| 19 | Bethesda Hospital Inc Cincinnati, OH · General Acute Care Hospital | $7K |
| 20 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $7K |
Showing top 20 of 109 providers billing this code