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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Golden Star Labs Llc Los Angeles, CA · Clinical Medical Laboratory | $49.6M |
| 2 | Gentech Laboratories Llc Dallas, TX · Clinical Medical Laboratory | $36.4M |
| 3 | Action Urgent Care Inc San Jose, CA · Clinic/Center Urgent Care | $31.4M |
| 4 | Pasteur Inc Van Nuys, CA · Clinical Medical Laboratory | $13.3M |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $9.5M |
| 6 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $8.4M |
| 7 | Adnan Lab Inc Chicago, IL · Intermediate Care Facility, Mental Illness | $7.5M |
| 8 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $6.5M |
| 9 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $6.4M |
| 10 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $5.8M |
| 11 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $5.3M |
| 12 | 1568133411 | $5.3M |
| 13 | 1457003329 | $4.8M |
| 14 | The Moses H. Cone Memorial Hospital Operating Corporation Greensboro, NC · General Acute Care Hospital | $4.7M |
| 15 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $4.4M |
| 16 | 1902996028 | $4.1M |
| 17 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $4.1M |
| 18 | 1427703727 | $4.0M |
| 19 | Rainbow Lab Inc Chicago, IL · Clinical Medical Laboratory | $4.0M |
| 20 | 1285360693 | $3.8M |
Showing top 20 of 2K providers billing this code