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#247 of 11K

87637

Respiratory virus detection, 3-5 targets, nucleic acid

Respiratory virus detection, 3-5 targets, nucleic acid is the #247 most-billed Medicaid procedure code, with $586.0M in payments across 6.0M claims from 2018–2024. The national median cost per claim is $100.62.

Total Paid

$586.0M

0.05% of all spending

Total Claims

6.0M

Providers

2K

Avg Cost/Claim

$97

National Cost Distribution

How much do providers bill per claim for 87637? Based on 2K providers billing this code nationally.

Median

$100.62

Average

$95.47

Std Dev

$55.90

Max

$785.90

Percentile Distribution (Cost per Claim)

p10
$16.88
p25
$61.04
Median
$100.62
p75
$128.07
p90
$142.63
p95
$161.56
p99
$232.17

50% of providers bill between $61.04 and $128.07 per claim for this code.

90% bill between $16.88 and $142.63.

Top 1% bill above $232.17.

About This Procedure

HCPCS code 87637 (Respiratory virus detection, 3-5 targets, nucleic acid) was billed by 2K providers across 6.0M claims, totaling $586.0M in Medicaid payments from 2018–2024. This code was used for 4.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$100.62

Providers Billing

2K

National Spending

$586.0M

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87637

#ProviderTotal Paid
1Golden Star Labs Llc

Los Angeles, CA · Clinical Medical Laboratory

$49.6M
2Gentech Laboratories Llc

Dallas, TX · Clinical Medical Laboratory

$36.4M
3Action Urgent Care Inc

San Jose, CA · Clinic/Center Urgent Care

$31.4M
4Pasteur Inc

Van Nuys, CA · Clinical Medical Laboratory

$13.3M
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$9.5M
6Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$8.4M
7Adnan Lab Inc

Chicago, IL · Intermediate Care Facility, Mental Illness

$7.5M
8Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$6.5M
9Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$6.4M
10Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$5.8M
11Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$5.3M
121568133411$5.3M
131457003329$4.8M
14The Moses H. Cone Memorial Hospital Operating Corporation

Greensboro, NC · General Acute Care Hospital

$4.7M
15Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$4.4M
161902996028$4.1M
17Stanford Health Care

Stanford, CA · General Acute Care Hospital

$4.1M
181427703727$4.0M
19Rainbow Lab Inc

Chicago, IL · Clinical Medical Laboratory

$4.0M
201285360693$3.8M

Showing top 20 of 2K providers billing this code