87169
HCPCS Procedure Code
HCPCS code 87169 is the #6,410 most-billed Medicaid procedure code, with $67K in payments across 9K claims from 2018–2024. The national median cost per claim is $1.91. Costs vary widely — the 90th percentile is $4.07 per claim, 2.1× the median.
Total Paid
$67K
0.00% of all spending
Total Claims
9K
Providers
12
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 87169? Based on 11 providers billing this code nationally.
Median
$1.91
Average
$3.25
Std Dev
$5.47
Max
$19.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.69 and $2.49 per claim for this code.
90% bill between $0.61 and $4.07.
Top 1% bill above $17.86.
About This Procedure
HCPCS code 87169 was billed by 12 providers across 9K claims, totaling $67K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.91
Providers Billing
11
National Spending
$67K
Avg/Median Ratio
1.70×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87169
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447206438 | $63K |
| 2 | Integrated Regional Laboratories Pathology Services Llc Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology | $3K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $717 |
| 4 | 1851967319 | $423 |
| 5 | 1114367497 | $238 |
| 6 | 1902991615 | $110 |
| 7 | 1669153011 | $99 |
| 8 | 1205928793 | $48 |
| 9 | 1023751088 | $30 |
| 10 | 1952977407 | $27 |
| 11 | 1568045045 | $10 |
| 12 | 1699343947 | $0 |
Showing top 12 of 12 providers billing this code