87493
Clostridium difficile detection by nucleic acid
Clostridium difficile detection by nucleic acid is the #2,577 most-billed Medicaid procedure code, with $4.9M in payments across 302K claims from 2018–2024. The national median cost per claim is $18.45.
Total Paid
$4.9M
0.00% of all spending
Total Claims
302K
Providers
570
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 87493? Based on 539 providers billing this code nationally.
Median
$18.45
Average
$18.70
Std Dev
$18.10
Max
$315.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.51 and $25.13 per claim for this code.
90% bill between $2.84 and $34.27.
Top 1% bill above $63.22.
About This Procedure
HCPCS code 87493 (Clostridium difficile detection by nucleic acid) was billed by 570 providers across 302K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 271K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.45
Providers Billing
539
National Spending
$4.9M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87493
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $190K |
| 2 | A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory | $136K |
| 3 | 1174009245 | $133K |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $118K |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $100K |
| 6 | 1790101681 | $99K |
| 7 | 1548208440 | $99K |
| 8 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $98K |
| 9 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $92K |
| 10 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $89K |
| 11 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $81K |
| 12 | 1922008150 | $75K |
| 13 | 1467669259 | $70K |
| 14 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $70K |
| 15 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $65K |
| 16 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $64K |
| 17 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $61K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $55K |
| 19 | 1316983158 | $54K |
| 20 | 1114902814 | $54K |
Showing top 20 of 570 providers billing this code