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#8010 of 11K

87164

HCPCS Procedure Code

HCPCS code 87164 is the #8,010 most-billed Medicaid procedure code, with $7K in payments across 707 claims from 2018–2024. The national median cost per claim is $9.54.

Total Paid

$7K

0.00% of all spending

Total Claims

707

Providers

3

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 87164? Based on 3 providers billing this code nationally.

Median

$9.54

Average

$8.47

Std Dev

$2.66

Max

$10.42

Percentile Distribution (Cost per Claim)

p10
$6.26
p25
$7.49
Median
$9.54
p75
$9.98
p90
$10.24
p95
$10.33
p99
$10.40

50% of providers bill between $7.49 and $9.98 per claim for this code.

90% bill between $6.26 and $10.24.

Top 1% bill above $10.40.

About This Procedure

HCPCS code 87164 was billed by 3 providers across 707 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 697 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.54

Providers Billing

3

National Spending

$7K

Avg/Median Ratio

0.89×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.