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#6414 of 11K

87391

HCPCS Procedure Code

HCPCS code 87391 is the #6,414 most-billed Medicaid procedure code, with $67K in payments across 7K claims from 2018–2024. The national median cost per claim is $1.58. Costs vary widely — the 90th percentile is $11.72 per claim, 7.4× the median.

Total Paid

$67K

0.00% of all spending

Total Claims

7K

Providers

11

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 87391? Based on 10 providers billing this code nationally.

Median

$1.58

Average

$4.28

Std Dev

$6.34

Max

$19.87

Percentile Distribution (Cost per Claim)

p10
$0.21
p25
$0.57
Median
$1.58
p75
$3.79
p90
$11.72
p95
$15.79
p99
$19.06

50% of providers bill between $0.57 and $3.79 per claim for this code.

90% bill between $0.21 and $11.72.

Top 1% bill above $19.06.

About This Procedure

HCPCS code 87391 was billed by 11 providers across 7K claims, totaling $67K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.58

Providers Billing

10

National Spending

$67K

Avg/Median Ratio

2.71×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 87391

#ProviderTotal Paid
11538570528$51K
21508955592$11K
31285018523$2K
4University Hospital

Newark, NJ · General Acute Care Hospital

$2K
51790154466$200
61710332911$90
71447332697$40
81346629995$20
91487923595$10
101265970834$10
111366413932$0

Showing top 11 of 11 providers billing this code