87420
HCPCS Procedure Code
HCPCS code 87420 is the #2,167 most-billed Medicaid procedure code, with $8.3M in payments across 770K claims from 2018–2024. The national median cost per claim is $9.78. Costs vary widely — the 90th percentile is $22.03 per claim, 2.3× the median.
Total Paid
$8.3M
0.00% of all spending
Total Claims
770K
Providers
2K
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 87420? Based on 1K providers billing this code nationally.
Median
$9.78
Average
$13.39
Std Dev
$24.52
Max
$420.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.55 and $13.60 per claim for this code.
90% bill between $0.77 and $22.03.
Top 1% bill above $103.25.
About This Procedure
HCPCS code 87420 was billed by 2K providers across 770K claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 717K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.78
Providers Billing
1K
National Spending
$8.3M
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87420
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396731105 | $416K |
| 2 | 1063426823 | $200K |
| 3 | 1144228446 | $134K |
| 4 | 1649367269 | $123K |
| 5 | 1366496937 | $117K |
| 6 | Mcallen Hospitals L P Edinburg, TX · General Acute Care Hospital | $103K |
| 7 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $98K |
| 8 | 1609066257 | $96K |
| 9 | 1598713075 | $89K |
| 10 | 1457382483 | $85K |
| 11 | Christus Santa Rosa Health Care Corporation San Antonio, TX · General Acute Care Hospital | $84K |
| 12 | 1508935891 | $84K |
| 13 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $81K |
| 14 | 1851940035 | $80K |
| 15 | 1134394539 | $80K |
| 16 | Chca Bayshore Lp Pasadena, TX · Clinic/Center, Ambulatory Surgical | $79K |
| 17 | Port City Operating Company Llc Stockton, CA · General Acute Care Hospital | $73K |
| 18 | 1093760944 | $73K |
| 19 | 1114081056 | $73K |
| 20 | 1467448498 | $70K |
Showing top 20 of 2K providers billing this code