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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750373908 | $12.7M |
| 2 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $8.8M |
| 3 | Physicians Group Laboratories, Llc Houma, LA · Clinical Medical Laboratory | $8.1M |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $5.7M |
| 5 | Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory | $3.0M |
| 6 | 1396813861 | $2.6M |
| 7 | 1881697464 | $2.5M |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $2.2M |
| 9 | Associated Pathologists, Llc Nashville, TN · Medical Genetics, Clinical Genetics (M.D.) | $2.0M |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2.0M |
| 11 | 1174009245 | $1.9M |
| 12 | A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory | $1.8M |
| 13 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $1.7M |
| 14 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $1.7M |
| 15 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.4M |
| 16 | 1548208440 | $1.3M |
| 17 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $1.2M |
| 18 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $1.2M |
| 19 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.2M |
| 20 | 1124075635 | $1.1M |
Showing top 20 of 2K providers billing this code