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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548208440 | $25K |
| 2 | 1730209545 | $13K |
| 3 | 1134235039 | $10K |
| 4 | 1407474190 | $4K |
| 5 | 1457003329 | $2K |
| 6 | 1538400098 | $641 |
| 7 | 1710282082 | $449 |
| 8 | 1568403111 | $429 |
| 9 | 1679660617 | $295 |
| 10 | 1821749896 | $114 |
| 11 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $0 |
Showing top 11 of 11 providers billing this code