87254
HCPCS Procedure Code
HCPCS code 87254 is the #4,003 most-billed Medicaid procedure code, with $939K in payments across 65K claims from 2018–2024. The national median cost per claim is $9.47. Costs vary widely — the 90th percentile is $22.63 per claim, 2.4× the median.
Total Paid
$939K
0.00% of all spending
Total Claims
65K
Providers
104
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 87254? Based on 95 providers billing this code nationally.
Median
$9.47
Average
$12.35
Std Dev
$11.11
Max
$72.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.97 and $17.65 per claim for this code.
90% bill between $1.45 and $22.63.
Top 1% bill above $41.69.
About This Procedure
HCPCS code 87254 was billed by 104 providers across 65K claims, totaling $939K in Medicaid payments from 2018–2024. This code was used for 61K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.47
Providers Billing
95
National Spending
$939K
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87254
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $373K |
| 2 | 1457393829 | $66K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $48K |
| 4 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $42K |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $32K |
| 6 | 1992171433 | $32K |
| 7 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $27K |
| 8 | 1447259627 | $26K |
| 9 | 1174517353 | $25K |
| 10 | 1356528269 | $24K |
| 11 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $21K |
| 12 | 1538345251 | $17K |
| 13 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $16K |
| 14 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $14K |
| 15 | 1467487637 | $14K |
| 16 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $14K |
| 17 | 1710916945 | $12K |
| 18 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $11K |
| 19 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $8K |
| 20 | 1124130653 | $7K |
Showing top 20 of 104 providers billing this code