81099
HCPCS Procedure Code
HCPCS code 81099 is the #9,023 most-billed Medicaid procedure code, with $541 in payments across 21K claims from 2018–2024. The national median cost per claim is $1.85. Costs vary widely — the 90th percentile is $3.82 per claim, 2.1× the median.
Total Paid
$541
0.00% of all spending
Total Claims
21K
Providers
22
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 81099? Based on 6 providers billing this code nationally.
Median
$1.85
Average
$1.97
Std Dev
$1.71
Max
$4.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.59 and $3.42 per claim for this code.
90% bill between $0.24 and $3.82.
Top 1% bill above $3.98.
About This Procedure
HCPCS code 81099 was billed by 22 providers across 21K claims, totaling $541 in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.85
Providers Billing
6
National Spending
$541
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81099
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164701561 | $165 |
| 2 | 1598107526 | $154 |
| 3 | 1205940152 | $120 |
| 4 | 1093392870 | $80 |
| 5 | 1134175060 | $21 |
| 6 | 1639433063 | $1 |
| 7 | 1093249518 | $0 |
| 8 | 1457802332 | $0 |
| 9 | 1003841917 | $0 |
| 10 | 1457701575 | $0 |
| 11 | 1346659927 | $0 |
| 12 | 1114167228 | $0 |
| 13 | 1962823211 | $0 |
| 14 | 1922578244 | $0 |
| 15 | 1720512247 | $0 |
| 16 | 1629329735 | $0 |
| 17 | 1386024891 | $0 |
| 18 | 1780935973 | $0 |
| 19 | 1578969465 | $0 |
| 20 | 1972752368 | $0 |
Showing top 20 of 22 providers billing this code