87265
HCPCS Procedure Code
HCPCS code 87265 is the #7,216 most-billed Medicaid procedure code, with $24K in payments across 3,711 claims from 2018–2024. The national median cost per claim is $5.67.
Total Paid
$24K
0.00% of all spending
Total Claims
3,711
Providers
10
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 87265? Based on 7 providers billing this code nationally.
Median
$5.67
Average
$5.93
Std Dev
$3.53
Max
$10.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.97 and $8.63 per claim for this code.
90% bill between $2.23 and $10.46.
Top 1% bill above $10.48.
About This Procedure
HCPCS code 87265 was billed by 10 providers across 3,711 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 3,262 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.67
Providers Billing
7
National Spending
$24K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87265
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $10K |
| 2 | 1467494161 | $9K |
| 3 | 1629084702 | $2K |
| 4 | 1568724243 | $2K |
| 5 | 1730628439 | $499 |
| 6 | 1295072882 | $249 |
| 7 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $48 |
| 8 | 1639703168 | $0 |
| 9 | 1730570466 | $0 |
| 10 | 1598260986 | $0 |
Showing top 10 of 10 providers billing this code