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#2060 of 11K

87275

HCPCS Procedure Code

HCPCS code 87275 is the #2,060 most-billed Medicaid procedure code, with $9.5M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $10.59.

Total Paid

$9.5M

0.00% of all spending

Total Claims

1.1M

Providers

750

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 87275? Based on 701 providers billing this code nationally.

Median

$10.59

Average

$10.17

Std Dev

$7.74

Max

$93.26

Percentile Distribution (Cost per Claim)

p10
$2.04
p25
$6.66
Median
$10.59
p75
$11.93
p90
$13.22
p95
$17.76
p99
$36.34

50% of providers bill between $6.66 and $11.93 per claim for this code.

90% bill between $2.04 and $13.22.

Top 1% bill above $36.34.

About This Procedure

HCPCS code 87275 was billed by 750 providers across 1.1M claims, totaling $9.5M in Medicaid payments from 2018–2024. This code was used for 934K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.59

Providers Billing

701

National Spending

$9.5M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87275

#ProviderTotal Paid
11366496937$1.3M
21508856535$465K
31164402038$347K
4Integrated Regional Laboratories Pathology Services Llc

Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology

$340K
51548287584$228K
61528014669$219K
71427018894$209K
81134172406$206K
91386681468$179K
101124060843$156K
111366413932$153K
12The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$127K
131407829567$115K
141538115696$104K
151386721405$104K
161144274317$103K
171447233861$102K
181790732303$102K
191942298153$102K
201457347239$100K

Showing top 20 of 750 providers billing this code