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#266 of 11K

87804

Influenza virus detection, rapid test

Influenza virus detection, rapid test is the #266 most-billed Medicaid procedure code, with $534.7M in payments across 44.8M claims from 2018–2024. The national median cost per claim is $12.59. Costs vary widely — the 90th percentile is $26.83 per claim, 2.1× the median.

Total Paid

$534.7M

0.05% of all spending

Total Claims

44.8M

Providers

23K

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 87804? Based on 22K providers billing this code nationally.

Median

$12.59

Average

$14.84

Std Dev

$17.11

Max

$695.79

Percentile Distribution (Cost per Claim)

p10
$2.93
p25
$8.67
Median
$12.59
p75
$17.26
p90
$26.83
p95
$30.46
p99
$61.87

50% of providers bill between $8.67 and $17.26 per claim for this code.

90% bill between $2.93 and $26.83.

Top 1% bill above $61.87.

About This Procedure

HCPCS code 87804 (Influenza virus detection, rapid test) was billed by 23K providers across 44.8M claims, totaling $534.7M in Medicaid payments from 2018–2024. This code was used for 26.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.59

Providers Billing

22K

National Spending

$534.7M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87804

#ProviderTotal Paid
1Fast Pace Medical Clinic Pllc

Spring Hill, TN · Family Medicine

$10.9M
2Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$4.2M
3Topcare Medical Group Inc

Dallas, TX · Pediatrics

$3.8M
41114948288$3.0M
51932586476$2.8M
61457579617$2.6M
71942275805$2.4M
81467715490$2.4M
9Driscoll Childrens Hospital

Corpus Christi, TX · Speech-Language Pathologist,

$2.3M
101669708780$2.3M
111912133315$2.0M
121447769559$1.9M
13Mcallen Hospitals L P

Edinburg, TX · General Acute Care Hospital

$1.9M
141609066257$1.8M
151215219878$1.8M
16City Medical Of Upper East Side Pllc

New York, NY · Clinic/Center Urgent Care

$1.8M
17Curators Of The University Of Missouri

Columbia, MO · General Acute Care Hospital

$1.7M
181225374887$1.7M
191508269200$1.7M
20Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$1.7M

Showing top 20 of 23K providers billing this code