#3142 of 11K

87999

HCPCS Procedure Code

HCPCS code 87999 is the #3,142 most-billed Medicaid procedure code, with $2.4M in payments across 70K claims from 2018–2024. The national median cost per claim is $3.56. Costs vary widely — the 90th percentile is $67.71 per claim, 19.0× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

70K

Providers

129

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 87999? Based on 103 providers billing this code nationally.

Median

$3.56

Average

$25.69

Std Dev

$66.17

Max

$549.45

Percentile Distribution (Cost per Claim)

p10

$0.16

p25

$1.03

Median

$3.56

p75

$18.43

p90

$67.71

p95

$108.24

p99

$258.34

50% of providers bill between $1.03 and $18.43 per claim for this code.

90% bill between $0.16 and $67.71.

Top 1% bill above $258.34.

About This Procedure

HCPCS code 87999 was billed by 129 providers across 70K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 61K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.56

Providers Billing

103

National Spending

$2.4M

Avg/Median Ratio

7.22×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 87999

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1902865868	$1.0M	$549.45	154.3× median	Top 1%
2	Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory	$467K	$129.10	36.3× median	Top 10%
3	1629178264	$195K	$81.65	22.9× median	Top 10%
4	1164511580	$89K	$138.57	38.9× median	Top 10%
5	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$77K	$25.62	7.2× median	Above 75th
6	1326225954	$77K	$80.84	22.7× median	Top 10%
7	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$74K	$40.55	11.4× median	Above 75th
8	Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory	$61K	$32.84	9.2× median	Above 75th
9	Unilab Corporation Sacramento, CA · Clinical Medical Laboratory	$44K	$72.20	20.3× median	Top 10%
10	1083249577	$39K	$259.58	72.9× median	Top 1%
11	1730510447	$32K	$13.32	3.7× median	Above Median
12	1750373908	$29K	$98.89	27.8× median	Top 10%
13	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$23K	$10.89	3.1× median	Above Median
14	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$15K	$49.75	14.0× median	Above 75th
15	1942469606	$12K	$11.97	3.4× median	Above Median
16	1629027578	$12K	$38.48	10.8× median	Above 75th
17	1710540513	$12K	$2.97	0.8× median	Below Median
18	Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital	$10K	$22.04	6.2× median	Above 75th
19	1376944793	$9K	$15.98	4.5× median	Above Median
20	Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory	$9K	$22.52	6.3× median	Above 75th

Showing top 20 of 129 providers billing this code

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