87561
HCPCS Procedure Code
HCPCS code 87561 is the #2,208 most-billed Medicaid procedure code, with $7.9M in payments across 364K claims from 2018–2024. The national median cost per claim is $9.23. Costs vary widely — the 90th percentile is $32.54 per claim, 3.5× the median.
Total Paid
$7.9M
0.00% of all spending
Total Claims
364K
Providers
76
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for 87561? Based on 70 providers billing this code nationally.
Median
$9.23
Average
$14.19
Std Dev
$13.15
Max
$46.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.60 and $24.98 per claim for this code.
90% bill between $0.84 and $32.54.
Top 1% bill above $45.62.
About This Procedure
HCPCS code 87561 was billed by 76 providers across 364K claims, totaling $7.9M in Medicaid payments from 2018–2024. This code was used for 307K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.23
Providers Billing
70
National Spending
$7.9M
Avg/Median Ratio
1.54×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87561
| # | Provider | Total Paid |
|---|---|---|
| 1 | Physicians Group Laboratories, Llc Houma, LA · Clinical Medical Laboratory | $6.6M |
| 2 | 1164775862 | $297K |
| 3 | 1467066860 | $206K |
| 4 | 1407313760 | $135K |
| 5 | 1174009245 | $120K |
| 6 | 1457977209 | $116K |
| 7 | 1659382067 | $71K |
| 8 | 1346514619 | $56K |
| 9 | 1346314564 | $49K |
| 10 | 1508326851 | $33K |
| 11 | 1841799764 | $18K |
| 12 | 1043229735 | $10K |
| 13 | 1174137368 | $9K |
| 14 | 1104517424 | $9K |
| 15 | 1326002171 | $8K |
| 16 | 1649687724 | $8K |
| 17 | 1750944526 | $7K |
| 18 | 1679816201 | $7K |
| 19 | 1558808204 | $7K |
| 20 | 1710347703 | $6K |
Showing top 20 of 76 providers billing this code