87799
HCPCS Procedure Code
HCPCS code 87799 is the #742 most-billed Medicaid procedure code, with $91.3M in payments across 3.2M claims from 2018–2024. The national median cost per claim is $21.87. Costs vary widely — the 90th percentile is $70.42 per claim, 3.2× the median.
Total Paid
$91.3M
0.01% of all spending
Total Claims
3.2M
Providers
543
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for 87799? Based on 484 providers billing this code nationally.
Median
$21.87
Average
$31.98
Std Dev
$38.82
Max
$324.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.29 and $40.16 per claim for this code.
90% bill between $3.33 and $70.42.
Top 1% bill above $176.07.
About This Procedure
HCPCS code 87799 was billed by 543 providers across 3.2M claims, totaling $91.3M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.87
Providers Billing
484
National Spending
$91.3M
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87799
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $8.6M |
| 2 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $7.5M |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $6.0M |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $5.9M |
| 5 | 1447296272 | $5.2M |
| 6 | 1811997711 | $4.9M |
| 7 | 1124130653 | $3.8M |
| 8 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $3.0M |
| 9 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $2.8M |
| 10 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $2.6M |
| 11 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $2.5M |
| 12 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $2.4M |
| 13 | 1013013002 | $2.3M |
| 14 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $1.8M |
| 15 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $1.2M |
| 16 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.2M |
| 17 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $1.1M |
| 18 | Quest Diagnostics Incorporated Md Baltimore, MD · Clinical Medical Laboratory | $1.1M |
| 19 | 1780620526 | $975K |
| 20 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $914K |
Showing top 20 of 543 providers billing this code