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#5522 of 11K

87158

HCPCS Procedure Code

HCPCS code 87158 is the #5,522 most-billed Medicaid procedure code, with $183K in payments across 38K claims from 2018–2024. The national median cost per claim is $3.83. Costs vary widely — the 90th percentile is $8.77 per claim, 2.3× the median.

Total Paid

$183K

0.00% of all spending

Total Claims

38K

Providers

25

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 87158? Based on 23 providers billing this code nationally.

Median

$3.83

Average

$4.29

Std Dev

$3.72

Max

$13.76

Percentile Distribution (Cost per Claim)

p10
$0.36
p25
$0.82
Median
$3.83
p75
$6.22
p90
$8.77
p95
$10.79
p99
$13.15

50% of providers bill between $0.82 and $6.22 per claim for this code.

90% bill between $0.36 and $8.77.

Top 1% bill above $13.15.

About This Procedure

HCPCS code 87158 was billed by 25 providers across 38K claims, totaling $183K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.83

Providers Billing

23

National Spending

$183K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87158

#ProviderTotal Paid
1University Of Rochester

Rochester, NY · General Acute Care Hospital

$105K
2Swedish Health Services

Seattle, WA · General Acute Care Hospital

$18K
31972548568$17K
41942378708$11K
51194776351$8K
61033107214$7K
71982625661$6K
81104982743$2K
91699894022$1K
101033475959$1K
111518913607$1K
12U Of R Neurology Department

Rochester, NY · Psychiatry & Neurology Neurology

$1K
131356496582$763
141720030703$722
151013985399$652
161720041684$590
171790732360$161
181114903523$126
19Omega Diagnostics Llc

Saint Francisville, LA · Clinical Medical Laboratory

$115
201821091067$75

Showing top 20 of 25 providers billing this code