87451
HCPCS Procedure Code
HCPCS code 87451 is the #6,490 most-billed Medicaid procedure code, with $61K in payments across 23K claims from 2018–2024. The national median cost per claim is $3.81. Costs vary widely — the 90th percentile is $16.12 per claim, 4.2× the median.
Total Paid
$61K
0.00% of all spending
Total Claims
23K
Providers
11
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 87451? Based on 8 providers billing this code nationally.
Median
$3.81
Average
$7.23
Std Dev
$9.63
Max
$29.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.85 and $7.39 per claim for this code.
90% bill between $0.91 and $16.12.
Top 1% bill above $28.31.
About This Procedure
HCPCS code 87451 was billed by 11 providers across 23K claims, totaling $61K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.81
Providers Billing
8
National Spending
$61K
Avg/Median Ratio
1.90×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87451
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548370745 | $34K |
| 2 | 1073519443 | $21K |
| 3 | 1912991597 | $3K |
| 4 | 1114081056 | $2K |
| 5 | 1316970932 | $792 |
| 6 | 1063422053 | $454 |
| 7 | 1487992665 | $331 |
| 8 | 1093016651 | $9 |
| 9 | Niagara Falls Memorial Medical Center Niagara Falls, NY · General Acute Care Hospital | $0 |
| 10 | 1366473183 | $0 |
| 11 | Physicians Group Laboratories, Llc Houma, LA · Clinical Medical Laboratory | $0 |
Showing top 11 of 11 providers billing this code