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#1407 of 11K

87210

HCPCS Procedure Code

HCPCS code 87210 is the #1,407 most-billed Medicaid procedure code, with $24.1M in payments across 4.7M claims from 2018–2024. The national median cost per claim is $3.65.

Total Paid

$24.1M

0.00% of all spending

Total Claims

4.7M

Providers

4K

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 87210? Based on 4K providers billing this code nationally.

Median

$3.65

Average

$5.53

Std Dev

$18.00

Max

$572.63

Percentile Distribution (Cost per Claim)

p10
$0.46
p25
$2.23
Median
$3.65
p75
$4.70
p90
$6.63
p95
$12.29
p99
$51.14

50% of providers bill between $2.23 and $4.70 per claim for this code.

90% bill between $0.46 and $6.63.

Top 1% bill above $51.14.

About This Procedure

HCPCS code 87210 was billed by 4K providers across 4.7M claims, totaling $24.1M in Medicaid payments from 2018–2024. This code was used for 4.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.65

Providers Billing

4K

National Spending

$24.1M

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 87210

#ProviderTotal Paid
1Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$1.7M
2Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$656K
31407301211$611K
41366496937$599K
5Norton Sound Health Corporation

Nome, AK · General Acute Care Hospital, Critical Access

$347K
61316995210$336K
71962472860$291K
8Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$288K
9Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$281K
101154373843$242K
111467496802$234K
121093768962$231K
131174633143$225K
141689624686$200K
151487868097$196K
161003811290$193K
171730123175$189K
18Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$181K
191639123284$178K
201265629133$155K

Showing top 20 of 4K providers billing this code