87798
Infectious agent detection, nucleic acid, not otherwise specified
Infectious agent detection, nucleic acid, not otherwise specified is the #234 most-billed Medicaid procedure code, with $625.9M in payments across 17.1M claims from 2018–2024. The national median cost per claim is $26.72. Costs vary widely — the 90th percentile is $99.85 per claim, 3.7× the median.
Total Paid
$625.9M
0.06% of all spending
Total Claims
17.1M
Providers
3K
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 87798? Based on 3K providers billing this code nationally.
Median
$26.72
Average
$44.45
Std Dev
$67.26
Max
$819.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.10 and $44.78 per claim for this code.
90% bill between $3.29 and $99.85.
Top 1% bill above $342.72.
About This Procedure
HCPCS code 87798 (Infectious agent detection, nucleic acid, not otherwise specified) was billed by 3K providers across 17.1M claims, totaling $625.9M in Medicaid payments from 2018–2024. This code was used for 10.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.72
Providers Billing
3K
National Spending
$625.9M
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87798
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $78.5M |
| 2 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $54.4M |
| 3 | Physicians Group Laboratories, Llc Houma, LA · Clinical Medical Laboratory | $27.4M |
| 4 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $24.7M |
| 5 | Laboratory Corporation Of America Holdings Charleston, WV · Clinical Medical Laboratory | $19.6M |
| 6 | 1750373908 | $19.3M |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $16.9M |
| 8 | 1598266421 | $15.1M |
| 9 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $14.3M |
| 10 | 1649829987 | $12.0M |
| 11 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $11.3M |
| 12 | 1033239413 | $10.5M |
| 13 | 1053721373 | $10.4M |
| 14 | Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory | $9.7M |
| 15 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $9.4M |
| 16 | 1174009245 | $9.1M |
| 17 | 1780059717 | $8.9M |
| 18 | 1861900698 | $8.5M |
| 19 | 1407487465 | $5.4M |
| 20 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $5.3M |
Showing top 20 of 3K providers billing this code