13101
HCPCS Procedure Code
HCPCS code 13101 is the #4,249 most-billed Medicaid procedure code, with $714K in payments across 2,899 claims from 2018–2024. The national median cost per claim is $242.52.
Total Paid
$714K
0.00% of all spending
Total Claims
2,899
Providers
16
Avg Cost/Claim
$246
National Cost Distribution
How much do providers bill per claim for 13101? Based on 16 providers billing this code nationally.
Median
$242.52
Average
$215.29
Std Dev
$95.16
Max
$364.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $132.06 and $280.67 per claim for this code.
90% bill between $103.76 and $324.92.
Top 1% bill above $359.88.
About This Procedure
HCPCS code 13101 was billed by 16 providers across 2,899 claims, totaling $714K in Medicaid payments from 2018–2024. This code was used for 2,703 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$242.52
Providers Billing
16
National Spending
$714K
Avg/Median Ratio
0.89×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 13101
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1073662946 | $209K |
| 2 | 1780159749 | $202K |
| 3 | 1407804115 | $139K |
| 4 | 1487659512 | $47K |
| 5 | 1235671389 | $39K |
| 6 | 1306982855 | $26K |
| 7 | 1396741351 | $15K |
| 8 | 1134349954 | $14K |
| 9 | 1568873727 | $5K |
| 10 | 1134201460 | $4K |
| 11 | 1053493288 | $4K |
| 12 | 1932154788 | $3K |
| 13 | 1205039682 | $3K |
| 14 | 1508815556 | $2K |
| 15 | 1376605394 | $2K |
| 16 | 1720089279 | $1K |
Showing top 16 of 16 providers billing this code