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#3803 of 11K

87905

HCPCS Procedure Code

HCPCS code 87905 is the #3,803 most-billed Medicaid procedure code, with $1.1M in payments across 181K claims from 2018–2024. The national median cost per claim is $9.68.

Total Paid

$1.1M

0.00% of all spending

Total Claims

181K

Providers

222

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 87905? Based on 209 providers billing this code nationally.

Median

$9.68

Average

$9.37

Std Dev

$11.65

Max

$140.65

Percentile Distribution (Cost per Claim)

p10
$1.63
p25
$5.39
Median
$9.68
p75
$10.40
p90
$11.56
p95
$13.88
p99
$33.16

50% of providers bill between $5.39 and $10.40 per claim for this code.

90% bill between $1.63 and $11.56.

Top 1% bill above $33.16.

About This Procedure

HCPCS code 87905 was billed by 222 providers across 181K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 163K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.68

Providers Billing

209

National Spending

$1.1M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87905

#ProviderTotal Paid
1Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$137K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$127K
31932146461$73K
4University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$72K
5Akron General Medical Center

Akron, OH · General Acute Care Hospital

$65K
6Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$55K
7Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$32K
8Our Lady Of The Lake Hospital Inc.

Baton Rouge, LA · General Acute Care Hospital

$29K
91326022252$28K
101740252592$27K
111255388021$22K
121457579617$22K
131215994264$21K
141477850485$21K
151134220031$19K
161982082459$18K
171366499048$18K
18County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$17K
191235411547$15K
201649422668$15K

Showing top 20 of 222 providers billing this code