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#6556 of 11K

87516

HCPCS Procedure Code

HCPCS code 87516 is the #6,556 most-billed Medicaid procedure code, with $56K in payments across 2,622 claims from 2018–2024. The national median cost per claim is $17.52.

Total Paid

$56K

0.00% of all spending

Total Claims

2,622

Providers

11

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 87516? Based on 10 providers billing this code nationally.

Median

$17.52

Average

$19.11

Std Dev

$13.18

Max

$38.37

Percentile Distribution (Cost per Claim)

p10
$3.10
p25
$9.55
Median
$17.52
p75
$30.19
p90
$33.53
p95
$35.95
p99
$37.88

50% of providers bill between $9.55 and $30.19 per claim for this code.

90% bill between $3.10 and $33.53.

Top 1% bill above $37.88.

About This Procedure

HCPCS code 87516 was billed by 11 providers across 2,622 claims, totaling $56K in Medicaid payments from 2018–2024. This code was used for 2,246 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.52

Providers Billing

10

National Spending

$56K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87516

#ProviderTotal Paid
11548208440$25K
21730209545$13K
31134235039$10K
41407474190$4K
51457003329$2K
61538400098$641
71710282082$449
81568403111$429
91679660617$295
101821749896$114
11Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$0

Showing top 11 of 11 providers billing this code