87101
Culture, fungi, isolation, non-blood specimen
Culture, fungi, isolation, non-blood specimen is the #3,771 most-billed Medicaid procedure code, with $1.2M in payments across 296K claims from 2018–2024. The national median cost per claim is $5.18.
Total Paid
$1.2M
0.00% of all spending
Total Claims
296K
Providers
166
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 87101? Based on 159 providers billing this code nationally.
Median
$5.18
Average
$6.83
Std Dev
$10.24
Max
$95.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.32 and $7.19 per claim for this code.
90% bill between $1.43 and $9.66.
Top 1% bill above $48.30.
About This Procedure
HCPCS code 87101 (Culture, fungi, isolation, non-blood specimen) was billed by 166 providers across 296K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 269K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.18
Providers Billing
159
National Spending
$1.2M
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87101
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $187K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $103K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $89K |
| 4 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $65K |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $54K |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $52K |
| 7 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $46K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $39K |
| 9 | 1265418669 | $31K |
| 10 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $30K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $28K |
| 12 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $26K |
| 13 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $24K |
| 14 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $22K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $22K |
| 16 | 1245382753 | $22K |
| 17 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $20K |
| 18 | 1184814014 | $20K |
| 19 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $19K |
| 20 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $14K |
Showing top 20 of 166 providers billing this code