87269
HCPCS Procedure Code
HCPCS code 87269 is the #6,456 most-billed Medicaid procedure code, with $63K in payments across 8,056 claims from 2018–2024. The national median cost per claim is $10.54.
Total Paid
$63K
0.00% of all spending
Total Claims
8,056
Providers
25
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 87269? Based on 24 providers billing this code nationally.
Median
$10.54
Average
$9.98
Std Dev
$3.97
Max
$17.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.41 and $12.70 per claim for this code.
90% bill between $5.16 and $14.18.
Top 1% bill above $16.92.
About This Procedure
HCPCS code 87269 was billed by 25 providers across 8,056 claims, totaling $63K in Medicaid payments from 2018–2024. This code was used for 7,686 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.54
Providers Billing
24
National Spending
$63K
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87269
| # | Provider | Total Paid |
|---|---|---|
| 1 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $14K |
| 2 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $11K |
| 3 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $9K |
| 4 | Rochester General Hospital-lab Rochester, NY · Clinical Medical Laboratory | $7K |
| 5 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $4K |
| 6 | 1104982743 | $4K |
| 7 | Children's Hospital Corporation Boston, MA · Clinic/Center | $2K |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $2K |
| 9 | 1174517353 | $2K |
| 10 | 1215930987 | $2K |
| 11 | 1558392563 | $1K |
| 12 | 1316917941 | $917 |
| 13 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $741 |
| 14 | Reading Hospital West Reading, PA · Surgery | $734 |
| 15 | 1386740587 | $702 |
| 16 | 1932109675 | $488 |
| 17 | Stamford Hospital Stamford, CT · Hospitalist | $469 |
| 18 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $361 |
| 19 | 1992736649 | $266 |
| 20 | 1740252592 | $262 |
Showing top 20 of 25 providers billing this code