87252
HCPCS Procedure Code
HCPCS code 87252 is the #4,457 most-billed Medicaid procedure code, with $580K in payments across 36K claims from 2018–2024. The national median cost per claim is $16.66.
Total Paid
$580K
0.00% of all spending
Total Claims
36K
Providers
89
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 87252? Based on 86 providers billing this code nationally.
Median
$16.66
Average
$17.77
Std Dev
$18.36
Max
$142.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.18 and $22.83 per claim for this code.
90% bill between $2.65 and $32.69.
Top 1% bill above $81.41.
About This Procedure
HCPCS code 87252 was billed by 89 providers across 36K claims, totaling $580K in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.66
Providers Billing
86
National Spending
$580K
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87252
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $242K |
| 2 | 1174517353 | $50K |
| 3 | 1245284769 | $37K |
| 4 | 1790732303 | $26K |
| 5 | 1235186800 | $22K |
| 6 | Rochester General Hospital-lab Rochester, NY · Clinical Medical Laboratory | $19K |
| 7 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $14K |
| 8 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $11K |
| 9 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $10K |
| 10 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $10K |
| 11 | 1467669259 | $9K |
| 12 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $8K |
| 13 | 1073587937 | $7K |
| 14 | 1548208440 | $7K |
| 15 | 1508326851 | $6K |
| 16 | 1396813861 | $6K |
| 17 | 1114902814 | $6K |
| 18 | 1902131857 | $6K |
| 19 | 1639123284 | $5K |
| 20 | Reading Hospital West Reading, PA · Surgery | $5K |
Showing top 20 of 89 providers billing this code