87181
HCPCS Procedure Code
HCPCS code 87181 is the #5,016 most-billed Medicaid procedure code, with $320K in payments across 95K claims from 2018–2024. The national median cost per claim is $2.74. Costs vary widely — the 90th percentile is $9.01 per claim, 3.3× the median.
Total Paid
$320K
0.00% of all spending
Total Claims
95K
Providers
165
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 87181? Based on 147 providers billing this code nationally.
Median
$2.74
Average
$4.44
Std Dev
$6.14
Max
$33.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.03 and $4.87 per claim for this code.
90% bill between $0.37 and $9.01.
Top 1% bill above $30.81.
About This Procedure
HCPCS code 87181 was billed by 165 providers across 95K claims, totaling $320K in Medicaid payments from 2018–2024. This code was used for 82K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.74
Providers Billing
147
National Spending
$320K
Avg/Median Ratio
1.62×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87181
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $53K |
| 2 | 1053357244 | $25K |
| 3 | 1710927231 | $20K |
| 4 | 1073566246 | $19K |
| 5 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $17K |
| 6 | 1205800638 | $12K |
| 7 | 1942378708 | $11K |
| 8 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $11K |
| 9 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $11K |
| 10 | 1679879589 | $10K |
| 11 | 1659755908 | $9K |
| 12 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $7K |
| 13 | 1053334755 | $7K |
| 14 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $7K |
| 15 | 1477596310 | $6K |
| 16 | 1073985727 | $6K |
| 17 | 1821101239 | $5K |
| 18 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $5K |
| 19 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $4K |
| 20 | 1043475668 | $4K |
Showing top 20 of 165 providers billing this code