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#9023 of 11K

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)

p10
$0.24
p25
$0.59
Median
$1.85
p75
$3.42
p90
$3.82
p95
$3.91
p99
$3.98

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

#ProviderTotal Paid
11164701561$165
21598107526$154
31205940152$120
41093392870$80
51134175060$21
61639433063$1
71093249518$0
81457802332$0
91003841917$0
101457701575$0
111346659927$0
121114167228$0
131962823211$0
141922578244$0
151720512247$0
161629329735$0
171386024891$0
181780935973$0
191578969465$0
201972752368$0

Showing top 20 of 22 providers billing this code

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