Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6893 of 11K

87253

HCPCS Procedure Code

HCPCS code 87253 is the #6,893 most-billed Medicaid procedure code, with $38K in payments across 2,902 claims from 2018–2024. The national median cost per claim is $13.34.

Total Paid

$38K

0.00% of all spending

Total Claims

2,902

Providers

14

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 87253? Based on 13 providers billing this code nationally.

Median

$13.34

Average

$14.66

Std Dev

$6.44

Max

$30.29

Percentile Distribution (Cost per Claim)

p10
$8.04
p25
$10.32
Median
$13.34
p75
$18.20
p90
$20.47
p95
$24.55
p99
$29.14

50% of providers bill between $10.32 and $18.20 per claim for this code.

90% bill between $8.04 and $20.47.

Top 1% bill above $29.14.

About This Procedure

HCPCS code 87253 was billed by 14 providers across 2,902 claims, totaling $38K in Medicaid payments from 2018–2024. This code was used for 2,804 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.34

Providers Billing

13

National Spending

$38K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87253

#ProviderTotal Paid
11235186800$12K
2Rochester General Hospital-lab

Rochester, NY · Clinical Medical Laboratory

$8K
31174517353$6K
4Rochester General Hospital

Rochester, NY · Dentist, General Practice

$4K
5Reading Hospital

West Reading, PA · Surgery

$3K
61730209545$2K
7The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$2K
81376548271$781
9Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$560
101538345251$292
111134195357$187
121356528269$153
131437125580$113
141396813861$0

Showing top 14 of 14 providers billing this code