87279
HCPCS Procedure Code
HCPCS code 87279 is the #6,132 most-billed Medicaid procedure code, with $92K in payments across 15K claims from 2018–2024. The national median cost per claim is $5.72. Costs vary widely — the 90th percentile is $14.94 per claim, 2.6× the median.
Total Paid
$92K
0.00% of all spending
Total Claims
15K
Providers
37
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 87279? Based on 33 providers billing this code nationally.
Median
$5.72
Average
$7.01
Std Dev
$6.24
Max
$23.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.77 and $12.19 per claim for this code.
90% bill between $0.28 and $14.94.
Top 1% bill above $21.62.
About This Procedure
HCPCS code 87279 was billed by 37 providers across 15K claims, totaling $92K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.72
Providers Billing
33
National Spending
$92K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87279
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1578569885 | $33K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $19K |
| 3 | 1104560945 | $11K |
| 4 | 1497773337 | $5K |
| 5 | 1013969179 | $5K |
| 6 | 1316925506 | $5K |
| 7 | 1396731105 | $3K |
| 8 | 1790711927 | $2K |
| 9 | 1154485944 | $2K |
| 10 | 1285805119 | $947 |
| 11 | 1811080526 | $913 |
| 12 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $673 |
| 13 | 1548208440 | $653 |
| 14 | 1699858373 | $653 |
| 15 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $434 |
| 16 | 1841242542 | $355 |
| 17 | 1073587937 | $306 |
| 18 | 1457341851 | $293 |
| 19 | 1356528269 | $276 |
| 20 | 1528507290 | $243 |
Showing top 20 of 37 providers billing this code