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#5714 of 11K

87272

HCPCS Procedure Code

HCPCS code 87272 is the #5,714 most-billed Medicaid procedure code, with $149K in payments across 21K claims from 2018–2024. The national median cost per claim is $8.12.

Total Paid

$149K

0.00% of all spending

Total Claims

21K

Providers

48

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 87272? Based on 48 providers billing this code nationally.

Median

$8.12

Average

$8.47

Std Dev

$4.71

Max

$27.88

Percentile Distribution (Cost per Claim)

p10
$2.46
p25
$6.26
Median
$8.12
p75
$10.59
p90
$12.86
p95
$13.46
p99
$23.29

50% of providers bill between $6.26 and $10.59 per claim for this code.

90% bill between $2.46 and $12.86.

Top 1% bill above $23.29.

About This Procedure

HCPCS code 87272 was billed by 48 providers across 21K claims, totaling $149K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.12

Providers Billing

48

National Spending

$149K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87272

#ProviderTotal Paid
1The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$14K
2Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$13K
3Rochester General Hospital-lab

Rochester, NY · Clinical Medical Laboratory

$13K
4Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$11K
5Rochester General Hospital

Rochester, NY · Dentist, General Practice

$10K
6Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$9K
7Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$9K
8The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$8K
91316983158$8K
101174517353$7K
11Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$5K
12Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$4K
131104982743$4K
14Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$3K
15Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$3K
16Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$3K
17Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$3K
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$2K
191396746673$2K
20Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$2K

Showing top 20 of 48 providers billing this code