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#3139 of 11K

87899

HCPCS Procedure Code

HCPCS code 87899 is the #3,139 most-billed Medicaid procedure code, with $2.4M in payments across 245K claims from 2018–2024. The national median cost per claim is $7.65. Costs vary widely — the 90th percentile is $15.64 per claim, 2.0× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

245K

Providers

589

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 87899? Based on 534 providers billing this code nationally.

Median

$7.65

Average

$8.59

Std Dev

$11.95

Max

$223.48

Percentile Distribution (Cost per Claim)

p10
$0.64
p25
$2.41
Median
$7.65
p75
$11.58
p90
$15.64
p95
$19.51
p99
$35.41

50% of providers bill between $2.41 and $11.58 per claim for this code.

90% bill between $0.64 and $15.64.

Top 1% bill above $35.41.

About This Procedure

HCPCS code 87899 was billed by 589 providers across 245K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 194K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.65

Providers Billing

534

National Spending

$2.4M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87899

#ProviderTotal Paid
11295719789$354K
2Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$200K
31003811290$172K
41134195357$144K
5Children's Hospital

Washington, DC · General Acute Care Hospital Children

$134K
61033130117$55K
71497773337$43K
8Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$41K
91336135821$37K
101871588772$32K
111295861128$29K
121518404631$26K
131366685992$25K
141457341851$25K
151619931466$25K
16Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$24K
171124060843$23K
181992789721$22K
191891892147$21K
201073587937$21K

Showing top 20 of 589 providers billing this code