#1000 of 11K

87400

HCPCS Procedure Code

HCPCS code 87400 is the #1,000 most-billed Medicaid procedure code, with $49.1M in payments across 4.2M claims from 2018–2024. The national median cost per claim is $8.40. Costs vary widely — the 90th percentile is $24.63 per claim, 2.9× the median.

Total Paid

$49.1M

0.00% of all spending

Total Claims

4.2M

Providers

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 87400? Based on 2K providers billing this code nationally.

Median

$8.40

Average

$13.88

Std Dev

$28.87

Max

$739.34

Percentile Distribution (Cost per Claim)

p10

$0.96

p25

$3.71

Median

$8.40

p75

$14.14

p90

$24.63

p95

$37.70

p99

$127.27

50% of providers bill between $3.71 and $14.14 per claim for this code.

90% bill between $0.96 and $24.63.

Top 1% bill above $127.27.

About This Procedure

HCPCS code 87400 was billed by 2K providers across 4.2M claims, totaling $49.1M in Medicaid payments from 2018–2024. This code was used for 2.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.40

Providers Billing

National Spending

$49.1M

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 87400

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Topcare Medical Group Inc Dallas, TX · Pediatrics	$4.8M	$7.39	0.9× median	Below Median
2	The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children	$4.4M	$739.34	88.0× median	Top 1%
3	1598729014	$2.2M	$23.96	2.9× median	Above 75th
4	1730337163	$1.5M	$7.42	0.9× median	Below Median
5	1205882503	$1.5M	$23.12	2.8× median	Above 75th
6	Memorial Hermann Health System Houston, TX · General Acute Care Hospital	$1.1M	$35.90	4.3× median	Top 10%
7	1609066257	$1.1M	$11.05	1.3× median	Above Median
8	Chca Bayshore Lp Pasadena, TX · Clinic/Center, Ambulatory Surgical	$962K	$24.27	2.9× median	Above 75th
9	Mnr Industries Llc Bel Air, MD · Clinic/Center Urgent Care	$809K	$10.51	1.3× median	Above Median
10	1013918960	$656K	$14.03	1.7× median	Above Median
11	1417919531	$656K	$69.68	8.3× median	Top 10%
12	1386709871	$634K	$13.96	1.7× median	Above Median
13	1154400232	$541K	$250.55	29.8× median	Top 1%
14	1750345286	$516K	$20.78	2.5× median	Above 75th
15	1891766051	$464K	$361.88	43.1× median	Top 1%
16	1295843787	$449K	$38.85	4.6× median	Top 10%
17	1346608809	$366K	$24.52	2.9× median	Above 75th
18	1164402038	$362K	$22.27	2.7× median	Above 75th
19	1134172000	$314K	$27.67	3.3× median	Top 10%
20	1164510673	$295K	$54.85	6.5× median	Top 10%

Showing top 20 of 2K providers billing this code

Related Procedures

87390$3.3M 87391$67K

← All procedures Top providers →