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#1470 of 11K

B4087

HCPCS Procedure Code

HCPCS code B4087 is the #1,470 most-billed Medicaid procedure code, with $22.1M in payments across 358K claims from 2018–2024. The national median cost per claim is $25.27. Costs vary widely — the 90th percentile is $99.82 per claim, 4.0× the median.

Total Paid

$22.1M

0.00% of all spending

Total Claims

358K

Providers

143

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for B4087? Based on 139 providers billing this code nationally.

Median

$25.27

Average

$40.40

Std Dev

$50.11

Max

$424.15

Percentile Distribution (Cost per Claim)

p10
$3.65
p25
$11.16
Median
$25.27
p75
$51.25
p90
$99.82
p95
$129.00
p99
$162.43

50% of providers bill between $11.16 and $51.25 per claim for this code.

90% bill between $3.65 and $99.82.

Top 1% bill above $162.43.

About This Procedure

HCPCS code B4087 was billed by 143 providers across 358K claims, totaling $22.1M in Medicaid payments from 2018–2024. This code was used for 250K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.27

Providers Billing

139

National Spending

$22.1M

Avg/Median Ratio

1.60×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for B4087

#ProviderTotal Paid
11043398407$2.9M
21710225271$2.9M
31245383348$2.6M
41588976815$1.5M
51326096629$1.4M
61164536025$1.3M
71649228909$1.3M
81316012016$911K
9Shield Denver Health Care Center Inc

Aurora, CO · Durable Medical Equipment & Medical Supplies

$817K
101356482509$613K
111285687749$598K
12Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$443K
131801196266$356K
141073680799$346K
151629507579$344K
161134120462$322K
171528345519$261K
181003834946$233K
191497389845$227K
201396804753$224K

Showing top 20 of 143 providers billing this code