#6760 of 11K

87300

HCPCS Procedure Code

HCPCS code 87300 is the #6,760 most-billed Medicaid procedure code, with $44K in payments across 10K claims from 2018–2024. The national median cost per claim is $5.09. Costs vary widely — the 90th percentile is $11.86 per claim, 2.3× the median.

Total Paid

$44K

0.00% of all spending

Total Claims

10K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 87300? Based on 22 providers billing this code nationally.

Median

$5.09

Average

$5.57

Std Dev

$4.37

Max

$14.88

Percentile Distribution (Cost per Claim)

p10

$0.94

p25

$1.57

Median

$5.09

p75

$8.42

p90

$11.86

p95

$12.26

p99

$14.34

50% of providers bill between $1.57 and $8.42 per claim for this code.

90% bill between $0.94 and $11.86.

Top 1% bill above $14.34.

About This Procedure

HCPCS code 87300 was billed by 22 providers across 10K claims, totaling $44K in Medicaid payments from 2018–2024. This code was used for 9,573 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.09

Providers Billing

National Spending

$44K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87300

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital	$16K	$8.22	1.6× median	Above Median
2	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$6K	$5.12	1.0× median	Above Median
3	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$5K	$5.68	1.1× median	Above Median
4	1518917350	$5K	$4.07	0.8× median	Below Median
5	Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory	$2K	$8.49	1.7× median	Above 75th
6	1811080526	$2K	$2.19	0.4× median	Below Median
7	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$1K	$5.07	1.0× median	Below Median
8	1124130653	$1K	$6.02	1.2× median	Above Median
9	1902131857	$1K	$11.88	2.3× median	Top 10%
10	1538199617	$783	$1.23	0.2× median	Below Median
11	1770529513	$764	$11.76	2.3× median	Above 75th
12	1790711927	$701	$1.29	0.3× median	Below Median
13	1467669259	$601	$3.15	0.6× median	Below Median
14	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$566	$14.88	2.9× median	Top 1%
15	1659322360	$413	$9.61	1.9× median	Above 75th
16	1174517353	$405	$12.28	2.4× median	Top 10%
17	1538345251	$299	$0.38	0.1× median	Below Median
18	1427181882	$256	$1.37	0.3× median	Below Median
19	1356528269	$246	$0.24	0.0× median	Below Median
20	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$170	$0.91	0.2× median	Below Median

Showing top 20 of 22 providers billing this code

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