87635
COVID-19 SARS-CoV-2 amplified probe detection
COVID-19 SARS-CoV-2 amplified probe detection is the #169 most-billed Medicaid procedure code, with $1.02B in payments across 25.9M claims from 2018–2024. The national median cost per claim is $39.70.
Total Paid
$1.02B
0.09% of all spending
Total Claims
25.9M
Providers
14K
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 87635? Based on 13K providers billing this code nationally.
Median
$39.70
Average
$38.76
Std Dev
$36.92
Max
$908.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.04 and $48.87 per claim for this code.
90% bill between $8.43 and $51.32.
Top 1% bill above $105.13.
About This Procedure
HCPCS code 87635 (COVID-19 SARS-CoV-2 amplified probe detection) was billed by 14K providers across 25.9M claims, totaling $1.02B in Medicaid payments from 2018–2024. This code was used for 22.4M unique beneficiaries.
Risk Assessment
This procedure is featured in our investigation: COVID Testing Boom
Read the full analysis for context on billing patterns associated with this code.
Billing Statistics
Median Cost/Claim
$39.70
Providers Billing
13K
National Spending
$1.02B
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87635
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $64.6M |
| 2 | Southeast Alaska Regional Health Consortium Sitka, AK · Podiatrist | $17.8M |
| 3 | Norton Sound Health Corporation Nome, AK · General Acute Care Hospital, Critical Access | $10.4M |
| 4 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $6.8M |
| 5 | 1366499048 | $6.1M |
| 6 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $6.1M |
| 7 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $5.5M |
| 8 | 1720029960 | $5.4M |
| 9 | 1316995210 | $5.1M |
| 10 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $4.9M |
| 11 | Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies | $4.7M |
| 12 | Usa Biosciences Llc Torrance, CA · Clinical Medical Laboratory | $4.6M |
| 13 | 1396188074 | $4.6M |
| 14 | 1710065933 | $4.2M |
| 15 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $4.1M |
| 16 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $4.0M |
| 17 | 1871606269 | $3.8M |
| 18 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $3.8M |
| 19 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $3.6M |
| 20 | Ochsner Clinic Foundation New Orleans, LA · General Acute Care Hospital | $3.6M |
Showing top 20 of 14K providers billing this code