Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1287 of 11K

87512

HCPCS Procedure Code

HCPCS code 87512 is the #1,287 most-billed Medicaid procedure code, with $29.2M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $23.49.

Total Paid

$29.2M

0.00% of all spending

Total Claims

1.4M

Providers

170

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 87512? Based on 142 providers billing this code nationally.

Median

$23.49

Average

$22.93

Std Dev

$12.37

Max

$65.78

Percentile Distribution (Cost per Claim)

p10
$6.82
p25
$14.16
Median
$23.49
p75
$30.67
p90
$37.32
p95
$41.11
p99
$57.73

50% of providers bill between $14.16 and $30.67 per claim for this code.

90% bill between $6.82 and $37.32.

Top 1% bill above $57.73.

About This Procedure

HCPCS code 87512 was billed by 170 providers across 1.4M claims, totaling $29.2M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.49

Providers Billing

142

National Spending

$29.2M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87512

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$5.7M
2Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$3.2M
31447296272$2.2M
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$2.0M
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1.8M
61124130653$1.2M
71811997711$1.2M
8Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$1.1M
9Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$1.1M
10Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$978K
11Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$970K
12Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$859K
13Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$628K
14Quest Diagnostics Incorporated Md

Baltimore, MD · Clinical Medical Laboratory

$458K
15Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$445K
161780620526$363K
17Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$357K
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$355K
191285625111$335K
20Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$329K

Showing top 20 of 170 providers billing this code