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#8228 of 11K

A6587

HCPCS Procedure Code

HCPCS code A6587 is the #8,228 most-billed Medicaid procedure code, with $5K in payments across 276 claims from 2018–2024. The national median cost per claim is $14.17. Costs vary widely — the 90th percentile is $71.95 per claim, 5.1× the median.

Total Paid

$5K

0.00% of all spending

Total Claims

276

Providers

3

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for A6587? Based on 3 providers billing this code nationally.

Median

$14.17

Average

$37.24

Std Dev

$42.60

Max

$86.40

Percentile Distribution (Cost per Claim)

p10
$11.75
p25
$12.66
Median
$14.17
p75
$50.28
p90
$71.95
p95
$79.17
p99
$84.95

50% of providers bill between $12.66 and $50.28 per claim for this code.

90% bill between $11.75 and $71.95.

Top 1% bill above $84.95.

About This Procedure

HCPCS code A6587 was billed by 3 providers across 276 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 133 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.17

Providers Billing

3

National Spending

$5K

Avg/Median Ratio

2.63×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.