87503
HCPCS Procedure Code
HCPCS code 87503 is the #3,180 most-billed Medicaid procedure code, with $2.3M in payments across 199K claims from 2018–2024. The national median cost per claim is $9.26. Costs vary widely — the 90th percentile is $27.13 per claim, 2.9× the median.
Total Paid
$2.3M
0.00% of all spending
Total Claims
199K
Providers
193
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 87503? Based on 161 providers billing this code nationally.
Median
$9.26
Average
$13.44
Std Dev
$14.23
Max
$98.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.27 and $21.81 per claim for this code.
90% bill between $0.43 and $27.13.
Top 1% bill above $63.11.
About This Procedure
HCPCS code 87503 was billed by 193 providers across 199K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 175K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.26
Providers Billing
161
National Spending
$2.3M
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87503
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710943881 | $162K |
| 2 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $141K |
| 3 | 1275523912 | $140K |
| 4 | Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical | $131K |
| 5 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $127K |
| 6 | 1326296211 | $110K |
| 7 | 1063443455 | $102K |
| 8 | Palomar Health Escondido, CA · General Acute Care Hospital | $102K |
| 9 | 1225195340 | $100K |
| 10 | 1144266024 | $74K |
| 11 | 1174812853 | $62K |
| 12 | 1568569796 | $44K |
| 13 | 1710983945 | $44K |
| 14 | 1376513754 | $43K |
| 15 | Newyork-presbyterian-queens Flushing, NY · General Acute Care Hospital | $43K |
| 16 | 1104808062 | $42K |
| 17 | 1093760944 | $42K |
| 18 | 1477671535 | $37K |
| 19 | 1346774270 | $33K |
| 20 | 1700120938 | $31K |
Showing top 20 of 193 providers billing this code