72081
HCPCS Procedure Code
HCPCS code 72081 is the #2,335 most-billed Medicaid procedure code, with $6.6M in payments across 200K claims from 2018–2024. The national median cost per claim is $20.88. Costs vary widely — the 90th percentile is $59.98 per claim, 2.9× the median.
Total Paid
$6.6M
0.00% of all spending
Total Claims
200K
Providers
497
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for 72081? Based on 492 providers billing this code nationally.
Median
$20.88
Average
$29.65
Std Dev
$29.82
Max
$212.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.77 and $37.09 per claim for this code.
90% bill between $7.79 and $59.98.
Top 1% bill above $169.03.
About This Procedure
HCPCS code 72081 was billed by 497 providers across 200K claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 188K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.88
Providers Billing
492
National Spending
$6.6M
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 72081
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $700K |
| 2 | Children's Hospital Corporation Boston, MA · Clinic/Center | $322K |
| 3 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $312K |
| 4 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $269K |
| 5 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $236K |
| 6 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $208K |
| 7 | 1326187097 | $171K |
| 8 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $149K |
| 9 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $119K |
| 10 | 1346297843 | $110K |
| 11 | 1083738637 | $108K |
| 12 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $95K |
| 13 | 1962987677 | $92K |
| 14 | 1346761897 | $86K |
| 15 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $84K |
| 16 | 1184609851 | $79K |
| 17 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $78K |
| 18 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $71K |
| 19 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $65K |
| 20 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $61K |
Showing top 20 of 497 providers billing this code