81007
HCPCS Procedure Code
HCPCS code 81007 is the #4,087 most-billed Medicaid procedure code, with $863K in payments across 157K claims from 2018–2024. The national median cost per claim is $3.40. Costs vary widely — the 90th percentile is $22.57 per claim, 6.6× the median.
Total Paid
$863K
0.00% of all spending
Total Claims
157K
Providers
125
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 81007? Based on 109 providers billing this code nationally.
Median
$3.40
Average
$7.47
Std Dev
$8.39
Max
$26.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.88 and $12.57 per claim for this code.
90% bill between $0.33 and $22.57.
Top 1% bill above $26.65.
About This Procedure
HCPCS code 81007 was billed by 125 providers across 157K claims, totaling $863K in Medicaid payments from 2018–2024. This code was used for 132K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.40
Providers Billing
109
National Spending
$863K
Avg/Median Ratio
2.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81007
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285615286 | $180K |
| 2 | 1952357550 | $102K |
| 3 | 1316938921 | $72K |
| 4 | 1699823617 | $72K |
| 5 | 1053361352 | $71K |
| 6 | 1275547606 | $71K |
| 7 | 1063461358 | $44K |
| 8 | 1871807115 | $33K |
| 9 | 1053530758 | $32K |
| 10 | 1154370443 | $17K |
| 11 | 1528514221 | $17K |
| 12 | 1013004795 | $15K |
| 13 | 1053762104 | $13K |
| 14 | 1154687572 | $11K |
| 15 | 1942475793 | $9K |
| 16 | 1588089718 | $9K |
| 17 | 1972625499 | $8K |
| 18 | 1740679943 | $8K |
| 19 | 1245542570 | $7K |
| 20 | 1740361690 | $7K |
Showing top 20 of 125 providers billing this code