87471
HCPCS Procedure Code
HCPCS code 87471 is the #5,168 most-billed Medicaid procedure code, with $271K in payments across 30K claims from 2018–2024. The national median cost per claim is $6.56. Costs vary widely — the 90th percentile is $28.67 per claim, 4.4× the median.
Total Paid
$271K
0.00% of all spending
Total Claims
30K
Providers
30
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 87471? Based on 29 providers billing this code nationally.
Median
$6.56
Average
$9.82
Std Dev
$10.23
Max
$38.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.54 and $10.59 per claim for this code.
90% bill between $1.17 and $28.67.
Top 1% bill above $36.43.
About This Procedure
HCPCS code 87471 was billed by 30 providers across 30K claims, totaling $271K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.56
Providers Billing
29
National Spending
$271K
Avg/Median Ratio
1.50×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87471
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053686964 | $74K |
| 2 | 1407113020 | $49K |
| 3 | 1437103983 | $45K |
| 4 | 1205877172 | $27K |
| 5 | 1174009245 | $15K |
| 6 | 1821093402 | $14K |
| 7 | 1265854855 | $11K |
| 8 | Rca Laboratory Services, Llc Glen Allen, VA · Clinical Medical Laboratory | $7K |
| 9 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $6K |
| 10 | 1285287821 | $5K |
| 11 | 1285707943 | $4K |
| 12 | 1720409154 | $4K |
| 13 | 1376206425 | $3K |
| 14 | 1346648870 | $2K |
| 15 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2K |
| 16 | 1932414463 | $774 |
| 17 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $581 |
| 18 | 1083382592 | $558 |
| 19 | 1720467814 | $431 |
| 20 | 1033655303 | $402 |
Showing top 20 of 30 providers billing this code