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#576 of 11K

87481

HCPCS Procedure Code

HCPCS code 87481 is the #576 most-billed Medicaid procedure code, with $140.7M in payments across 6.2M claims from 2018–2024. The national median cost per claim is $22.38. Costs vary widely — the 90th percentile is $65.19 per claim, 2.9× the median.

Total Paid

$140.7M

0.01% of all spending

Total Claims

6.2M

Providers

2K

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 87481? Based on 1K providers billing this code nationally.

Median

$22.38

Average

$31.33

Std Dev

$42.12

Max

$785.22

Percentile Distribution (Cost per Claim)

p10
$2.73
p25
$9.21
Median
$22.38
p75
$36.21
p90
$65.19
p95
$86.81
p99
$206.69

50% of providers bill between $9.21 and $36.21 per claim for this code.

90% bill between $2.73 and $65.19.

Top 1% bill above $206.69.

About This Procedure

HCPCS code 87481 was billed by 2K providers across 6.2M claims, totaling $140.7M in Medicaid payments from 2018–2024. This code was used for 4.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.38

Providers Billing

1K

National Spending

$140.7M

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87481

#ProviderTotal Paid
11750373908$12.7M
2Healthtrackrx Indiana, Inc

Denton, TX · Clinical Medical Laboratory

$8.8M
3Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$8.1M
4Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$5.7M
5Eurofins Diatherix Laboratories Llc

Huntsville, AL · Clinical Medical Laboratory

$3.0M
61396813861$2.6M
71881697464$2.5M
8Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$2.2M
9Associated Pathologists, Llc

Nashville, TN · Medical Genetics, Clinical Genetics (M.D.)

$2.0M
10Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$2.0M
111174009245$1.9M
12A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$1.8M
13Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$1.7M
14The Miriam Hospital

Providence, RI · General Acute Care Hospital

$1.7M
15Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.4M
161548208440$1.3M
17Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$1.2M
18Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$1.2M
19Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1.2M
201124075635$1.1M

Showing top 20 of 2K providers billing this code