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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Fast Pace Medical Clinic Pllc Spring Hill, TN · Family Medicine | $10.9M |
| 2 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $4.2M |
| 3 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $3.8M |
| 4 | 1114948288 | $3.0M |
| 5 | 1932586476 | $2.8M |
| 6 | 1457579617 | $2.6M |
| 7 | 1942275805 | $2.4M |
| 8 | 1467715490 | $2.4M |
| 9 | Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist, | $2.3M |
| 10 | 1669708780 | $2.3M |
| 11 | 1912133315 | $2.0M |
| 12 | 1447769559 | $1.9M |
| 13 | Mcallen Hospitals L P Edinburg, TX · General Acute Care Hospital | $1.9M |
| 14 | 1609066257 | $1.8M |
| 15 | 1215219878 | $1.8M |
| 16 | City Medical Of Upper East Side Pllc New York, NY · Clinic/Center Urgent Care | $1.8M |
| 17 | Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital | $1.7M |
| 18 | 1225374887 | $1.7M |
| 19 | 1508269200 | $1.7M |
| 20 | Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies | $1.7M |
Showing top 20 of 23K providers billing this code