87797
HCPCS Procedure Code
HCPCS code 87797 is the #3,806 most-billed Medicaid procedure code, with $1.1M in payments across 61K claims from 2018–2024. The national median cost per claim is $19.87.
Total Paid
$1.1M
0.00% of all spending
Total Claims
61K
Providers
67
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for 87797? Based on 62 providers billing this code nationally.
Median
$19.87
Average
$18.86
Std Dev
$8.85
Max
$42.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.13 and $24.24 per claim for this code.
90% bill between $7.39 and $26.58.
Top 1% bill above $41.41.
About This Procedure
HCPCS code 87797 was billed by 67 providers across 61K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 56K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.87
Providers Billing
62
National Spending
$1.1M
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87797
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1073518007 | $283K |
| 2 | 1467586792 | $197K |
| 3 | 1740460583 | $78K |
| 4 | 1639289564 | $58K |
| 5 | 1164736401 | $52K |
| 6 | 1548787245 | $44K |
| 7 | 1568416311 | $41K |
| 8 | 1811017916 | $37K |
| 9 | 1780611566 | $33K |
| 10 | 1669615605 | $33K |
| 11 | 1962511931 | $32K |
| 12 | 1215908850 | $31K |
| 13 | 1467494161 | $21K |
| 14 | 1942298153 | $20K |
| 15 | 1639160401 | $16K |
| 16 | 1770689051 | $15K |
| 17 | 1609279959 | $15K |
| 18 | 1821015462 | $14K |
| 19 | 1457411043 | $12K |
| 20 | 1174793392 | $12K |
Showing top 20 of 67 providers billing this code