87469
HCPCS Procedure Code
HCPCS code 87469 is the #4,808 most-billed Medicaid procedure code, with $391K in payments across 30K claims from 2018–2024. The national median cost per claim is $17.00.
Total Paid
$391K
0.00% of all spending
Total Claims
30K
Providers
104
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 87469? Based on 95 providers billing this code nationally.
Median
$17.00
Average
$15.99
Std Dev
$13.68
Max
$84.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.30 and $21.11 per claim for this code.
90% bill between $1.22 and $28.03.
Top 1% bill above $66.93.
About This Procedure
HCPCS code 87469 was billed by 104 providers across 30K claims, totaling $391K in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.00
Providers Billing
95
National Spending
$391K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87469
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $95K |
| 2 | Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital | $25K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $18K |
| 4 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $16K |
| 5 | 1861404121 | $16K |
| 6 | 1306871223 | $15K |
| 7 | 1962422733 | $15K |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $12K |
| 9 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $11K |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $11K |
| 11 | 1922024835 | $10K |
| 12 | 1871606764 | $10K |
| 13 | Stamford Hospital Stamford, CT · Hospitalist | $9K |
| 14 | 1376548271 | $7K |
| 15 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $7K |
| 16 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $7K |
| 17 | 1891740585 | $6K |
| 18 | Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural | $6K |
| 19 | 1568548782 | $6K |
| 20 | 1982645305 | $5K |
Showing top 20 of 104 providers billing this code