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#5643 of 11K

87809

HCPCS Procedure Code

HCPCS code 87809 is the #5,643 most-billed Medicaid procedure code, with $163K in payments across 13K claims from 2018–2024. The national median cost per claim is $13.59.

Total Paid

$163K

0.00% of all spending

Total Claims

13K

Providers

16

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 87809? Based on 15 providers billing this code nationally.

Median

$13.59

Average

$12.11

Std Dev

$4.91

Max

$17.90

Percentile Distribution (Cost per Claim)

p10
$5.41
p25
$9.01
Median
$13.59
p75
$15.65
p90
$17.28
p95
$17.61
p99
$17.84

50% of providers bill between $9.01 and $15.65 per claim for this code.

90% bill between $5.41 and $17.28.

Top 1% bill above $17.84.

About This Procedure

HCPCS code 87809 was billed by 16 providers across 13K claims, totaling $163K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.59

Providers Billing

15

National Spending

$163K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87809

#ProviderTotal Paid
11417285875$126K
21841316403$12K
31912133992$6K
41508861196$5K
51699709576$4K
61932586476$2K
71144803040$2K
81760542807$2K
91629035423$1K
101053721373$1K
111740329507$702
121114228475$366
131528507290$322
141487899464$217
151750822151$133
161821210170$0

Showing top 16 of 16 providers billing this code