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#228 of 11K

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)

p10
$18.50
p25
$62.40
Median
$169.17
p75
$298.11
p90
$381.47
p95
$458.66
p99
$703.46

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

#ProviderTotal Paid
1Eurofins Diatherix Laboratories Llc

Huntsville, AL · Clinical Medical Laboratory

$52.0M
2Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$39.0M
3Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$21.3M
41255875746$13.5M
51861900698$11.9M
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$10.3M
71598266421$9.6M
8Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$7.7M
9Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$7.4M
10Doctors Hospital At Renaissance, Ltd

Edinburg, TX · Clinic/Center, Ambulatory Surgical

$7.2M
11Bexar County Hospital District

San Antonio, TX · Clinical Medical Laboratory

$7.1M
121407519556$6.6M
131053721373$5.9M
141730582594$5.7M
15Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$5.5M
161275578817$4.7M
171073518007$4.6M
18Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$4.6M
19The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$4.4M
201811946734$4.1M

Showing top 20 of 2K providers billing this code