87913
HCPCS Procedure Code
HCPCS code 87913 is the #1,127 most-billed Medicaid procedure code, with $39.2M in payments across 251K claims from 2018–2024. The national median cost per claim is $151.70.
Total Paid
$39.2M
0.00% of all spending
Total Claims
251K
Providers
24
Avg Cost/Claim
$156
National Cost Distribution
How much do providers bill per claim for 87913? Based on 20 providers billing this code nationally.
Median
$151.70
Average
$143.75
Std Dev
$59.24
Max
$249.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $139.63 and $158.04 per claim for this code.
90% bill between $40.54 and $211.14.
Top 1% bill above $243.13.
About This Procedure
HCPCS code 87913 was billed by 24 providers across 251K claims, totaling $39.2M in Medicaid payments from 2018–2024. This code was used for 170K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$151.70
Providers Billing
20
National Spending
$39.2M
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87913
| # | Provider | Total Paid |
|---|---|---|
| 1 | Lifeline Biosciences Llc Downers Grove, IL · Clinical Medical Laboratory | $7.3M |
| 2 | Baha Laboratories Llc Chicago, IL · Clinical Medical Laboratory | $6.7M |
| 3 | Rainbow Lab Inc Chicago, IL · Clinical Medical Laboratory | $4.4M |
| 4 | 1770230930 | $3.6M |
| 5 | Care Clinical Lab Inc Skokie, IL · Clinical Medical Laboratory | $2.6M |
| 6 | Sh Diagnostics Inc Chicago, IL · Clinical Medical Laboratory | $2.6M |
| 7 | Rt Pcr Test Near Me Inc Bridgeview, IL · Clinical Medical Laboratory | $2.5M |
| 8 | 1134765308 | $1.9M |
| 9 | Mdx Diagnostics Laboratory Houston, TX · Clinical Medical Laboratory | $1.8M |
| 10 | Elite Diagnostics Laboratories Llc Woodridge, IL · Clinical Medical Laboratory | $1.5M |
| 11 | Biodx Labs Coppell, TX · Clinical Medical Laboratory | $1.4M |
| 12 | Elite Diagnostics Inc Saint Louis, MO · Clinical Medical Laboratory | $1.4M |
| 13 | Asterlation Inc Franklin Park, IL · Clinical Medical Laboratory | $754K |
| 14 | 1700545639 | $545K |
| 15 | 1972888139 | $27K |
| 16 | 1902585680 | $15K |
| 17 | 1083313704 | $14K |
| 18 | 1114948288 | $10K |
| 19 | Accurate Mobile Lab Services Llc Hickory Hills, IL · Clinical Medical Laboratory | $6K |
| 20 | 1245721406 | $1K |
Showing top 20 of 24 providers billing this code