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87904
Billing code 87904
HHS publishes no description for this code; it is likely a state-specific local code.
Medicaid paid $79K on code 87904 from 2018 through 2024, to 1 provider — the #6,262 code in the file by dollars. 100% of it was billed in California.
28Total paid$79K
24GClaims559
Paid per claim line$141.91
33Providers billing it1
Box 32 · Location
Where 87904 is billed
The largest of 1 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing 87904
| # | Provider | Location | Claims | Paid on 87904 |
|---|---|---|---|---|
| 1 | Monogram Biosciences, INC | South San Francisco, CA | 559 | $79K |