CPT 87634

Across 139,703 services billed by 617 providers to 92,421 beneficiaries, Medicare allowed an average of $68.72 per service. That is 1.5 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

• 87640Detection test by nucleic acid for staphylococcus aureus (bacteria)$34.35
• 87653Detection test by nucleic acid for strep (streptococcus$34.36
• 87635Amplifed dna or rna probe detection of severe acute respiratory syndro$50.11
• 87651Detection test by nucleic acid for strep (streptococcus$34.33
• 87641Detection test by nucleic acid for staphylococcus aureus$34.36
• 87637Detection test by multiplex amplified probe technique for severe acute$139.09
• 87631Detection test by nucleic acid for multiple types of respiratory virus$139.46
• 87624Detection test by nucleic acid for human papillomavirus (hpv)$34.30
• 87636Detection test by multiplex amplified probe technique for severe acute$138.39
• 87661Detection test by nucleic acid for trichomonas vaginalis (genital para$34.30
• 87652Detection test by nucleic acid for strep (streptococcus$40.89
• 87625Detection test by nucleic acid for human papillomavirus (hpv)$39.71

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

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