#1574 of 11K

87641

HCPCS Procedure Code

HCPCS code 87641 is the #1,574 most-billed Medicaid procedure code, with $18.8M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $12.38. Costs vary widely — the 90th percentile is $30.30 per claim, 2.4× the median.

Total Paid

$18.8M

0.00% of all spending

Total Claims

1.6M

Providers

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 87641? Based on 1K providers billing this code nationally.

Median

$12.38

Average

$15.50

Std Dev

$19.39

Max

$477.15

Percentile Distribution (Cost per Claim)

p10

$1.45

p25

$4.71

Median

$12.38

p75

$22.22

p90

$30.30

p95

$36.72

p99

$67.29

50% of providers bill between $4.71 and $22.22 per claim for this code.

90% bill between $1.45 and $30.30.

Top 1% bill above $67.29.

About This Procedure

HCPCS code 87641 was billed by 1K providers across 1.6M claims, totaling $18.8M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.38

Providers Billing

National Spending

$18.8M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87641

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1598266421	$1.1M	$12.50	1.0× median	Above Median
2	Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory	$1.0M	$10.83	0.9× median	Below Median
3	1174009245	$732K	$9.52	0.8× median	Below Median
4	1780059717	$704K	$34.11	2.8× median	Top 10%
5	1033239413	$597K	$15.92	1.3× median	Above Median
6	1407487465	$393K	$17.80	1.4× median	Above Median
7	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$303K	$17.09	1.4× median	Above Median
8	1720409154	$238K	$7.36	0.6× median	Below Median
9	1922008150	$207K	$23.05	1.9× median	Above 75th
10	1457382483	$205K	$71.69	5.8× median	Top 1%
11	1972575157	$199K	$21.76	1.8× median	Above Median
12	1053721373	$196K	$18.73	1.5× median	Above Median
13	1457343931	$194K	$22.60	1.8× median	Above 75th
14	1942641774	$188K	$19.22	1.6× median	Above Median
15	1568431088	$168K	$6.56	0.5× median	Below Median
16	A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory	$167K	$26.03	2.1× median	Above 75th
17	1972582062	$163K	$17.45	1.4× median	Above Median
18	Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory	$156K	$14.07	1.1× median	Above Median
19	1790732360	$148K	$5.07	0.4× median	Below Median
20	1457354656	$140K	$24.56	2.0× median	Above 75th

Showing top 20 of 1K providers billing this code

Related Procedures

87635COVID-19 SARS-CoV-2 amplified probe detection$1.02B 87633Respiratory virus detection, 12-25 targets, nucleic acid$660.8M 87637Respiratory virus detection, 3-5 targets, nucleic acid$586.0M 87636Respiratory virus detection, 6-11 targets, nucleic acid$552.3M 87651Streptococcus Group A detection, nucleic acid, amplified probe$335.8M

← All procedures Top providers →