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#4844 of 11K

87467

HCPCS Procedure Code

HCPCS code 87467 is the #4,844 most-billed Medicaid procedure code, with $379K in payments across 40K claims from 2018–2024. The national median cost per claim is $9.32. Costs vary widely — the 90th percentile is $20.72 per claim, 2.2× the median.

Total Paid

$379K

0.00% of all spending

Total Claims

40K

Providers

42

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 87467? Based on 38 providers billing this code nationally.

Median

$9.32

Average

$10.87

Std Dev

$8.41

Max

$34.08

Percentile Distribution (Cost per Claim)

p10
$3.18
p25
$5.05
Median
$9.32
p75
$13.87
p90
$20.72
p95
$30.76
p99
$33.49

50% of providers bill between $5.05 and $13.87 per claim for this code.

90% bill between $3.18 and $20.72.

Top 1% bill above $33.49.

About This Procedure

HCPCS code 87467 was billed by 42 providers across 40K claims, totaling $379K in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.32

Providers Billing

38

National Spending

$379K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87467

#ProviderTotal Paid
11861404121$92K
2Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$89K
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$39K
4Children's Hospital Corporation

Boston, MA · Clinic/Center

$38K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$30K
61760794044$11K
71427360700$9K
8Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$8K
91619980430$8K
10Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$7K
11Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$7K
121619901642$6K
131780620526$6K
14Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$6K
15Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$5K
161649794157$3K
17Trustees Of The University Of Pennsylvania

Philadelphia, PA · Community/Behavioral Health

$2K
181184012569$2K
191598744856$2K
20Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$2K

Showing top 20 of 42 providers billing this code