87468
HCPCS Procedure Code
HCPCS code 87468 is the #4,710 most-billed Medicaid procedure code, with $439K in payments across 32K claims from 2018–2024. The national median cost per claim is $17.76.
Total Paid
$439K
0.00% of all spending
Total Claims
32K
Providers
112
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 87468? Based on 102 providers billing this code nationally.
Median
$17.76
Average
$17.35
Std Dev
$12.01
Max
$50.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.99 and $27.28 per claim for this code.
90% bill between $1.55 and $33.09.
Top 1% bill above $40.51.
About This Procedure
HCPCS code 87468 was billed by 112 providers across 32K claims, totaling $439K in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.76
Providers Billing
102
National Spending
$439K
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87468
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $89K |
| 2 | Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital | $25K |
| 3 | 1962422733 | $19K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $18K |
| 5 | 1871606764 | $16K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $15K |
| 7 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $15K |
| 8 | 1306871223 | $15K |
| 9 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $14K |
| 10 | Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural | $10K |
| 11 | 1568548782 | $10K |
| 12 | 1922024835 | $10K |
| 13 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $9K |
| 14 | Stamford Hospital Stamford, CT · Hospitalist | $9K |
| 15 | 1376548271 | $9K |
| 16 | 1861404121 | $8K |
| 17 | 1073569331 | $7K |
| 18 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $7K |
| 19 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $7K |
| 20 | 1891740585 | $6K |
Showing top 20 of 112 providers billing this code