87478
HCPCS Procedure Code
HCPCS code 87478 is the #5,851 most-billed Medicaid procedure code, with $129K in payments across 8,774 claims from 2018–2024. The national median cost per claim is $16.88.
Total Paid
$129K
0.00% of all spending
Total Claims
8,774
Providers
44
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 87478? Based on 40 providers billing this code nationally.
Median
$16.88
Average
$13.85
Std Dev
$8.35
Max
$31.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.57 and $19.27 per claim for this code.
90% bill between $1.40 and $22.47.
Top 1% bill above $30.06.
About This Procedure
HCPCS code 87478 was billed by 44 providers across 8,774 claims, totaling $129K in Medicaid payments from 2018–2024. This code was used for 8,471 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.88
Providers Billing
40
National Spending
$129K
Avg/Median Ratio
0.82×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87478
| # | Provider | Total Paid |
|---|---|---|
| 1 | Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital | $25K |
| 2 | 1306871223 | $15K |
| 3 | 1962422733 | $15K |
| 4 | 1922024835 | $10K |
| 5 | Stamford Hospital Stamford, CT · Hospitalist | $9K |
| 6 | 1861404121 | $7K |
| 7 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $7K |
| 8 | Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural | $6K |
| 9 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $6K |
| 10 | 1568548782 | $5K |
| 11 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $4K |
| 12 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $3K |
| 13 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $2K |
| 14 | 1629027578 | $2K |
| 15 | 1083605661 | $2K |
| 16 | 1740287531 | $2K |
| 17 | 1578529954 | $1K |
| 18 | Mainegeneral Medical Center Augusta, ME · General Acute Care Hospital | $1000 |
| 19 | 1558321919 | $884 |
| 20 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $787 |
Showing top 20 of 44 providers billing this code