87428
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each is the #413 most-billed Medicaid procedure code, with $253.3M in payments across 6.6M claims from 2018–2024. The national median cost per claim is $39.63.
Total Paid
$253.3M
0.02% of all spending
Total Claims
6.6M
Providers
6K
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for 87428? Based on 5K providers billing this code nationally.
Median
$39.63
Average
$40.81
Std Dev
$21.82
Max
$199.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.19 and $57.36 per claim for this code.
90% bill between $12.59 and $63.59.
Top 1% bill above $96.02.
About This Procedure
HCPCS code 87428 (SARS-CoV-2 COVID-19 antigen detection, immunoassay, each) was billed by 6K providers across 6.6M claims, totaling $253.3M in Medicaid payments from 2018–2024. This code was used for 5.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.63
Providers Billing
5K
National Spending
$253.3M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87428
| # | Provider | Total Paid |
|---|---|---|
| 1 | Fast Pace Medical Clinic Pllc Spring Hill, TN · Family Medicine | $12.8M |
| 2 | 1457716706 | $3.0M |
| 3 | 1447769559 | $2.8M |
| 4 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $2.8M |
| 5 | 1467715490 | $2.7M |
| 6 | 1427441286 | $2.6M |
| 7 | 1306873500 | $2.6M |
| 8 | 1689603748 | $2.5M |
| 9 | 1053548487 | $2.1M |
| 10 | 1679578439 | $2.1M |
| 11 | 1366425274 | $1.9M |
| 12 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $1.7M |
| 13 | 1427125269 | $1.7M |
| 14 | 1730193244 | $1.7M |
| 15 | 1770587149 | $1.5M |
| 16 | 1134172000 | $1.5M |
| 17 | 1124092036 | $1.5M |
| 18 | 1588663769 | $1.4M |
| 19 | 1609192319 | $1.3M |
| 20 | City Medical Of Upper East Side Pllc New York, NY · Clinic/Center Urgent Care | $1.2M |
Showing top 20 of 6K providers billing this code