87425
HCPCS Procedure Code
HCPCS code 87425 is the #5,660 most-billed Medicaid procedure code, with $159K in payments across 24K claims from 2018–2024. The national median cost per claim is $8.01.
Total Paid
$159K
0.00% of all spending
Total Claims
24K
Providers
84
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 87425? Based on 79 providers billing this code nationally.
Median
$8.01
Average
$7.96
Std Dev
$5.57
Max
$34.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.37 and $10.26 per claim for this code.
90% bill between $0.93 and $13.65.
Top 1% bill above $25.38.
About This Procedure
HCPCS code 87425 was billed by 84 providers across 24K claims, totaling $159K in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.01
Providers Billing
79
National Spending
$159K
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87425
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $16K |
| 2 | 1033227111 | $16K |
| 3 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $15K |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $11K |
| 5 | 1922008150 | $10K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $9K |
| 7 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $7K |
| 8 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $7K |
| 9 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $6K |
| 10 | 1396731105 | $5K |
| 11 | 1073587937 | $5K |
| 12 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $5K |
| 13 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $4K |
| 14 | 1316241102 | $4K |
| 15 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $4K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $3K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $3K |
| 18 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $3K |
| 19 | 1124136593 | $2K |
| 20 | 1548232044 | $2K |
Showing top 20 of 84 providers billing this code