#809 of 11K

87522

HCPCS Procedure Code

HCPCS code 87522 is the #809 most-billed Medicaid procedure code, with $76.2M in payments across 3.0M claims from 2018–2024. The national median cost per claim is $29.66.

Total Paid

$76.2M

0.01% of all spending

Total Claims

3.0M

Providers

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 87522? Based on 1K providers billing this code nationally.

Median

$29.66

Average

$32.30

Std Dev

$34.15

Max

$692.31

Percentile Distribution (Cost per Claim)

p10

$7.85

p25

$19.29

Median

$29.66

p75

$39.33

p90

$47.24

p95

$57.88

p99

$129.73

50% of providers bill between $19.29 and $39.33 per claim for this code.

90% bill between $7.85 and $47.24.

Top 1% bill above $129.73.

About This Procedure

HCPCS code 87522 was billed by 1K providers across 3.0M claims, totaling $76.2M in Medicaid payments from 2018–2024. This code was used for 2.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.66

Providers Billing

National Spending

$76.2M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87522

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$7.5M	$25.83	0.9× median	Below Median
2	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$4.1M	$26.10	0.9× median	Below Median
3	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$3.1M	$19.92	0.7× median	Below Median
4	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$2.2M	$33.20	1.1× median	Above Median
5	Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory	$2.1M	$24.83	0.8× median	Below Median
6	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$2.1M	$14.63	0.5× median	Below Median
7	Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital	$1.8M	$466.76	15.7× median	Top 1%
8	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$1.5M	$31.07	1.0× median	Above Median
9	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$1.4M	$28.86	1.0× median	Below Median
10	Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory	$1.4M	$23.50	0.8× median	Below Median
11	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$1.3M	$32.39	1.1× median	Above Median
12	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$1.2M	$21.83	0.7× median	Below Median
13	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$1.1M	$21.58	0.7× median	Below Median
14	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$876K	$21.05	0.7× median	Below Median
15	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$876K	$22.03	0.7× median	Below Median
16	1316983158	$868K	$28.58	1.0× median	Below Median
17	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$818K	$28.16	0.9× median	Below Median
18	University Of Kentucky Lexington, KY · General Acute Care Hospital	$771K	$42.18	1.4× median	Above 75th
19	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$764K	$22.26	0.8× median	Below Median
20	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$754K	$17.78	0.6× median	Below Median

Showing top 20 of 1K providers billing this code

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87529$38.4M 87512$29.2M 87517$17.6M 87521$3.3M 87532$3.3M

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