87538
HCPCS Procedure Code
HCPCS code 87538 is the #4,331 most-billed Medicaid procedure code, with $656K in payments across 48K claims from 2018–2024. The national median cost per claim is $20.47.
Total Paid
$656K
0.00% of all spending
Total Claims
48K
Providers
41
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 87538? Based on 37 providers billing this code nationally.
Median
$20.47
Average
$25.17
Std Dev
$33.30
Max
$213.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.32 and $27.38 per claim for this code.
90% bill between $5.23 and $33.50.
Top 1% bill above $150.14.
About This Procedure
HCPCS code 87538 was billed by 41 providers across 48K claims, totaling $656K in Medicaid payments from 2018–2024. This code was used for 46K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.47
Providers Billing
37
National Spending
$656K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87538
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $143K |
| 2 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $86K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $66K |
| 4 | State Of New Mexico Santa Fe, NM · Public Health or Welfare | $61K |
| 5 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $54K |
| 6 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $36K |
| 7 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $23K |
| 8 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $19K |
| 9 | Permanente Medical Group Inc. Berkeley, CA · Clinical Medical Laboratory | $19K |
| 10 | 1699538983 | $18K |
| 11 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $16K |
| 12 | University Of Rochester Rochester, NY · General Acute Care Hospital | $15K |
| 13 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $13K |
| 14 | 1134235039 | $11K |
| 15 | 1104829159 | $10K |
| 16 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $10K |
| 17 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $9K |
| 18 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $8K |
| 19 | 1255071387 | $8K |
| 20 | 1225033814 | $5K |
Showing top 20 of 41 providers billing this code