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#6031 of 11K

87290

HCPCS Procedure Code

HCPCS code 87290 is the #6,031 most-billed Medicaid procedure code, with $103K in payments across 10K claims from 2018–2024. The national median cost per claim is $10.04.

Total Paid

$103K

0.00% of all spending

Total Claims

10K

Providers

5

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 87290? Based on 5 providers billing this code nationally.

Median

$10.04

Average

$9.18

Std Dev

$1.82

Max

$10.88

Percentile Distribution (Cost per Claim)

p10
$7.15
p25
$7.71
Median
$10.04
p75
$10.51
p90
$10.73
p95
$10.80
p99
$10.86

50% of providers bill between $7.71 and $10.51 per claim for this code.

90% bill between $7.15 and $10.73.

Top 1% bill above $10.86.

About This Procedure

HCPCS code 87290 was billed by 5 providers across 10K claims, totaling $103K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.04

Providers Billing

5

National Spending

$103K

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87290

#ProviderTotal Paid
11467586792$97K
2The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$4K
31073633574$2K
41548370745$393
51902131857$294

Showing top 5 of 5 providers billing this code