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#5283 of 11K

87623

HCPCS Procedure Code

HCPCS code 87623 is the #5,283 most-billed Medicaid procedure code, with $241K in payments across 21K claims from 2018–2024. The national median cost per claim is $13.14. Costs vary widely — the 90th percentile is $35.07 per claim, 2.7× the median.

Total Paid

$241K

0.00% of all spending

Total Claims

21K

Providers

27

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 87623? Based on 20 providers billing this code nationally.

Median

$13.14

Average

$18.65

Std Dev

$26.46

Max

$118.98

Percentile Distribution (Cost per Claim)

p10
$0.25
p25
$1.66
Median
$13.14
p75
$20.30
p90
$35.07
p95
$48.16
p99
$104.82

50% of providers bill between $1.66 and $20.30 per claim for this code.

90% bill between $0.25 and $35.07.

Top 1% bill above $104.82.

About This Procedure

HCPCS code 87623 was billed by 27 providers across 21K claims, totaling $241K in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.14

Providers Billing

20

National Spending

$241K

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87623

#ProviderTotal Paid
11700886322$186K
2St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$11K
31750373908$8K
41699733071$8K
51639160401$5K
6Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$5K
71922092444$4K
81295270254$3K
91457003329$3K
101790781110$2K
111063511970$1K
121104030626$1K
13Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$1K
141932271137$618
151134374143$592
161649878364$339
171659323442$227
181043565021$62
191801907449$25
201871680397$21

Showing top 20 of 27 providers billing this code