87389
HIV-1 antigen with HIV-1 and HIV-2 antibodies
HIV-1 antigen with HIV-1 and HIV-2 antibodies is the #298 most-billed Medicaid procedure code, with $468.6M in payments across 31.7M claims from 2018–2024. The national median cost per claim is $18.03. Costs vary widely — the 90th percentile is $37.26 per claim, 2.1× the median.
Total Paid
$468.6M
0.04% of all spending
Total Claims
31.7M
Providers
4K
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 87389? Based on 3K providers billing this code nationally.
Median
$18.03
Average
$20.21
Std Dev
$18.92
Max
$316.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.52 and $23.90 per claim for this code.
90% bill between $2.46 and $37.26.
Top 1% bill above $81.85.
About This Procedure
HCPCS code 87389 (HIV-1 antigen with HIV-1 and HIV-2 antibodies) was billed by 4K providers across 31.7M claims, totaling $468.6M in Medicaid payments from 2018–2024. This code was used for 29.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.03
Providers Billing
3K
National Spending
$468.6M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87389
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $44.8M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $29.2M |
| 3 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $20.9M |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $14.5M |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $13.9M |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $12.9M |
| 7 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $10.6M |
| 8 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $10.3M |
| 9 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $7.4M |
| 10 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $6.5M |
| 11 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $6.4M |
| 12 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $5.9M |
| 13 | Laboratory Corporation Of America Holdings Charleston, WV · Clinical Medical Laboratory | $5.3M |
| 14 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $5.2M |
| 15 | 1235290651 | $4.8M |
| 16 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $4.5M |
| 17 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $4.3M |
| 18 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $4.1M |
| 19 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $4.1M |
| 20 | Laboratory Corporation Of America Houston, TX · Clinical Medical Laboratory | $3.9M |
Showing top 20 of 4K providers billing this code