X6987
HCPCS Procedure Code
HCPCS code X6987 is the #2,070 most-billed Medicaid procedure code, with $9.5M in payments across 152K claims from 2018–2024. The national median cost per claim is $55.52. Costs vary widely — the 90th percentile is $220.27 per claim, 4.0× the median.
Total Paid
$9.5M
0.00% of all spending
Total Claims
152K
Providers
15
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for X6987? Based on 15 providers billing this code nationally.
Median
$55.52
Average
$88.03
Std Dev
$69.41
Max
$226.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $55.24 and $56.80 per claim for this code.
90% bill between $52.98 and $220.27.
Top 1% bill above $225.59.
About This Procedure
HCPCS code X6987 was billed by 15 providers across 152K claims, totaling $9.5M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$55.52
Providers Billing
15
National Spending
$9.5M
Avg/Median Ratio
1.59×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for X6987
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093754319 | $2.8M |
| 2 | 1063889483 | $2.2M |
| 3 | 1083672935 | $1.1M |
| 4 | 1679613038 | $672K |
| 5 | 1215077540 | $523K |
| 6 | 1073086377 | $448K |
| 7 | 1427201557 | $364K |
| 8 | 1619017027 | $356K |
| 9 | 1851426894 | $301K |
| 10 | 1558575597 | $282K |
| 11 | 1336696731 | $204K |
| 12 | 1568417400 | $139K |
| 13 | 1649597790 | $41K |
| 14 | 1649449406 | $20K |
| 15 | 1598844391 | $8K |
Showing top 15 of 15 providers billing this code