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#135 of 11K

87491

Chlamydia detection, nucleic acid, amplified probe

Chlamydia detection, nucleic acid, amplified probe is the #135 most-billed Medicaid procedure code, with $1.39B in payments across 65.7M claims from 2018–2024. The national median cost per claim is $24.95.

Total Paid

$1.39B

0.13% of all spending

Total Claims

65.7M

Providers

7K

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 87491? Based on 6K providers billing this code nationally.

Median

$24.95

Average

$26.36

Std Dev

$25.01

Max

$673.49

Percentile Distribution (Cost per Claim)

p10
$2.72
p25
$12.14
Median
$24.95
p75
$33.01
p90
$44.05
p95
$59.59
p99
$134.00

50% of providers bill between $12.14 and $33.01 per claim for this code.

90% bill between $2.72 and $44.05.

Top 1% bill above $134.00.

About This Procedure

HCPCS code 87491 (Chlamydia detection, nucleic acid, amplified probe) was billed by 7K providers across 65.7M claims, totaling $1.39B in Medicaid payments from 2018–2024. This code was used for 60.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.95

Providers Billing

6K

National Spending

$1.39B

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87491

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$85.1M
2Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$49.7M
3Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$36.8M
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$36.3M
5Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$33.5M
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$31.7M
71649407792$27.3M
8Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$24.3M
9Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$21.6M
10Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$21.2M
11Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$17.9M
12Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$16.4M
131316148125$15.8M
141730370594$14.7M
15Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$13.4M
161538351077$13.0M
17Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$12.2M
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$11.5M
19Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$10.9M
201750435244$10.9M

Showing top 20 of 7K providers billing this code