87633
Respiratory virus detection, 12-25 targets, nucleic acid
Respiratory virus detection, 12-25 targets, nucleic acid is the #228 most-billed Medicaid procedure code, with $660.8M in payments across 4.0M claims from 2018–2024. The national median cost per claim is $169.17. Costs vary widely — the 90th percentile is $381.47 per claim, 2.3× the median.
Total Paid
$660.8M
0.06% of all spending
Total Claims
4.0M
Providers
2K
Avg Cost/Claim
$164
National Cost Distribution
How much do providers bill per claim for 87633? Based on 2K providers billing this code nationally.
Median
$169.17
Average
$193.14
Std Dev
$158.43
Max
$1,553.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $62.40 and $298.11 per claim for this code.
90% bill between $18.50 and $381.47.
Top 1% bill above $703.46.
About This Procedure
HCPCS code 87633 (Respiratory virus detection, 12-25 targets, nucleic acid) was billed by 2K providers across 4.0M claims, totaling $660.8M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$169.17
Providers Billing
2K
National Spending
$660.8M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87633
| # | Provider | Total Paid |
|---|---|---|
| 1 | Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory | $52.0M |
| 2 | Physicians Group Laboratories, Llc Houma, LA · Clinical Medical Laboratory | $39.0M |
| 3 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $21.3M |
| 4 | 1255875746 | $13.5M |
| 5 | 1861900698 | $11.9M |
| 6 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $10.3M |
| 7 | 1598266421 | $9.6M |
| 8 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $7.7M |
| 9 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $7.4M |
| 10 | Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical | $7.2M |
| 11 | Bexar County Hospital District San Antonio, TX · Clinical Medical Laboratory | $7.1M |
| 12 | 1407519556 | $6.6M |
| 13 | 1053721373 | $5.9M |
| 14 | 1730582594 | $5.7M |
| 15 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $5.5M |
| 16 | 1275578817 | $4.7M |
| 17 | 1073518007 | $4.6M |
| 18 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $4.6M |
| 19 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $4.4M |
| 20 | 1811946734 | $4.1M |
Showing top 20 of 2K providers billing this code