87631
Respiratory virus detection, 3-5 targets, multiplex
Respiratory virus detection, 3-5 targets, multiplex is the #446 most-billed Medicaid procedure code, with $220.5M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $65.45. Costs vary widely — the 90th percentile is $139.16 per claim, 2.1× the median.
Total Paid
$220.5M
0.02% of all spending
Total Claims
3.6M
Providers
2K
Avg Cost/Claim
$61
National Cost Distribution
How much do providers bill per claim for 87631? Based on 2K providers billing this code nationally.
Median
$65.45
Average
$73.30
Std Dev
$60.11
Max
$877.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.09 and $107.56 per claim for this code.
90% bill between $5.67 and $139.16.
Top 1% bill above $258.42.
About This Procedure
HCPCS code 87631 (Respiratory virus detection, 3-5 targets, multiplex) was billed by 2K providers across 3.6M claims, totaling $220.5M in Medicaid payments from 2018–2024. This code was used for 3.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$65.45
Providers Billing
2K
National Spending
$220.5M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87631
| # | Provider | Total Paid |
|---|---|---|
| 1 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $16.4M |
| 2 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $4.5M |
| 3 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $4.4M |
| 4 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $4.1M |
| 5 | 1649829987 | $3.9M |
| 6 | Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory | $3.9M |
| 7 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $3.8M |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $3.3M |
| 9 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $3.1M |
| 10 | University Of Rochester Rochester, NY · General Acute Care Hospital | $2.6M |
| 11 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $2.4M |
| 12 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $2.2M |
| 13 | Reading Hospital West Reading, PA · Surgery | $2.0M |
| 14 | 1982643003 | $1.9M |
| 15 | Apple Diagnostics Lab South Plainfield, NJ · Clinical Medical Laboratory | $1.9M |
| 16 | Health Network Laboratories, Llc Allentown, PA · Clinical Medical Laboratory | $1.8M |
| 17 | 1194971085 | $1.8M |
| 18 | 1740273994 | $1.8M |
| 19 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1.7M |
| 20 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $1.6M |
Showing top 20 of 2K providers billing this code