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#295 of 11K

87880

Streptococcus, Group A, rapid antigen detection

Streptococcus, Group A, rapid antigen detection is the #295 most-billed Medicaid procedure code, with $474.0M in payments across 47.3M claims from 2018–2024. The national median cost per claim is $11.48.

Total Paid

$474.0M

0.04% of all spending

Total Claims

47.3M

Providers

26K

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 87880? Based on 25K providers billing this code nationally.

Median

$11.48

Average

$11.32

Std Dev

$13.46

Max

$488.11

Percentile Distribution (Cost per Claim)

p10
$2.25
p25
$7.11
Median
$11.48
p75
$13.87
p90
$15.63
p95
$16.97
p99
$39.78

50% of providers bill between $7.11 and $13.87 per claim for this code.

90% bill between $2.25 and $15.63.

Top 1% bill above $39.78.

About This Procedure

HCPCS code 87880 (Streptococcus, Group A, rapid antigen detection) was billed by 26K providers across 47.3M claims, totaling $474.0M in Medicaid payments from 2018–2024. This code was used for 43.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.48

Providers Billing

25K

National Spending

$474.0M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87880

#ProviderTotal Paid
1Fast Pace Medical Clinic Pllc

Spring Hill, TN · Family Medicine

$4.9M
2Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$3.8M
31417919531$3.2M
4Topcare Medical Group Inc

Dallas, TX · Pediatrics

$3.1M
51184186496$2.5M
6Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$2.4M
71114948288$2.4M
81720177066$2.4M
9Yukon-kuskokwim Health Corporation

Bethel, AK · Physician Assistant

$2.3M
101912133315$2.2M
111942275805$1.9M
12Norton Sound Health Corporation

Nome, AK · General Acute Care Hospital, Critical Access

$1.8M
131366425274$1.6M
14Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$1.5M
151346608809$1.5M
161932586476$1.4M
171609066257$1.3M
181558452730$1.3M
191306873500$1.3M
20Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$1.3M

Showing top 20 of 26K providers billing this code