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#5999 of 11K

87301

HCPCS Procedure Code

HCPCS code 87301 is the #5,999 most-billed Medicaid procedure code, with $108K in payments across 21K claims from 2018–2024. The national median cost per claim is $7.18.

Total Paid

$108K

0.00% of all spending

Total Claims

21K

Providers

28

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 87301? Based on 26 providers billing this code nationally.

Median

$7.18

Average

$8.44

Std Dev

$7.88

Max

$38.29

Percentile Distribution (Cost per Claim)

p10
$1.41
p25
$3.60
Median
$7.18
p75
$9.84
p90
$12.74
p95
$21.21
p99
$34.66

50% of providers bill between $3.60 and $9.84 per claim for this code.

90% bill between $1.41 and $12.74.

Top 1% bill above $34.66.

About This Procedure

HCPCS code 87301 was billed by 28 providers across 21K claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.18

Providers Billing

26

National Spending

$108K

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87301

#ProviderTotal Paid
11669708780$69K
21316607104$11K
31619928017$10K
41881742575$4K
51578917407$3K
61790185577$3K
71942497292$2K
81871740001$1K
91386817435$855
101871599829$689
111851403869$642
121063036119$526
131669567897$414
141447383666$413
151134180920$410
161730510447$374
171124078696$291
181932299690$256
191730113739$168
201790024909$152

Showing top 20 of 28 providers billing this code