87255
HCPCS Procedure Code
HCPCS code 87255 is the #2,550 most-billed Medicaid procedure code, with $5.0M in payments across 284K claims from 2018–2024. The national median cost per claim is $20.29.
Total Paid
$5.0M
0.00% of all spending
Total Claims
284K
Providers
112
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 87255? Based on 100 providers billing this code nationally.
Median
$20.29
Average
$23.82
Std Dev
$25.74
Max
$227.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.73 and $27.87 per claim for this code.
90% bill between $5.70 and $36.58.
Top 1% bill above $118.24.
About This Procedure
HCPCS code 87255 was billed by 112 providers across 284K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 271K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.29
Providers Billing
100
National Spending
$5.0M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87255
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.0M |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $812K |
| 3 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $344K |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $322K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $287K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $233K |
| 7 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $212K |
| 8 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $142K |
| 9 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $129K |
| 10 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $115K |
| 11 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $108K |
| 12 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $100K |
| 13 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $95K |
| 14 | Laboratory Corporation Of America Holdings Charleston, WV · Clinical Medical Laboratory | $86K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $75K |
| 16 | 1316983158 | $72K |
| 17 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $64K |
| 18 | 1033203393 | $53K |
| 19 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $53K |
| 20 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $50K |
Showing top 20 of 112 providers billing this code