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#897 of 11K

87634

HCPCS Procedure Code

HCPCS code 87634 is the #897 most-billed Medicaid procedure code, with $61.8M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $48.78.

Total Paid

$61.8M

0.01% of all spending

Total Claims

1.8M

Providers

2K

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 87634? Based on 2K providers billing this code nationally.

Median

$48.78

Average

$44.45

Std Dev

$29.37

Max

$355.21

Percentile Distribution (Cost per Claim)

p10
$4.73
p25
$24.69
Median
$48.78
p75
$61.25
p90
$69.84
p95
$78.68
p99
$124.87

50% of providers bill between $24.69 and $61.25 per claim for this code.

90% bill between $4.73 and $69.84.

Top 1% bill above $124.87.

About This Procedure

HCPCS code 87634 was billed by 2K providers across 1.8M claims, totaling $61.8M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.78

Providers Billing

2K

National Spending

$61.8M

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87634

#ProviderTotal Paid
1Usa Biosciences Llc

Torrance, CA · Clinical Medical Laboratory

$5.5M
2Mmm Diagnostic Center Inc

Lombard, IL · Clinical Medical Laboratory

$2.9M
3Us Medical Labs Inc

Lombard, IL · Clinical Medical Laboratory

$2.6M
41861900698$1.9M
5Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$1.7M
61598266421$1.6M
71669409199$1.5M
81003904236$1.1M
9Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$1.0M
101275087553$972K
111023055191$920K
121053721373$888K
131285970780$806K
14Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$735K
151932586476$653K
161760414221$620K
171871248096$595K
181952326019$570K
191558433250$484K
201457003329$435K

Showing top 20 of 2K providers billing this code