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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417285875 | $126K |
| 2 | 1841316403 | $12K |
| 3 | 1912133992 | $6K |
| 4 | 1508861196 | $5K |
| 5 | 1699709576 | $4K |
| 6 | 1932586476 | $2K |
| 7 | 1144803040 | $2K |
| 8 | 1760542807 | $2K |
| 9 | 1629035423 | $1K |
| 10 | 1053721373 | $1K |
| 11 | 1740329507 | $702 |
| 12 | 1114228475 | $366 |
| 13 | 1528507290 | $322 |
| 14 | 1487899464 | $217 |
| 15 | 1750822151 | $133 |
| 16 | 1821210170 | $0 |
Showing top 16 of 16 providers billing this code