81105
HCPCS Procedure Code
HCPCS code 81105 is the #7,236 most-billed Medicaid procedure code, with $24K in payments across 811 claims from 2018–2024. The national median cost per claim is $52.94.
Total Paid
$24K
0.00% of all spending
Total Claims
811
Providers
4
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for 81105? Based on 4 providers billing this code nationally.
Median
$52.94
Average
$41.81
Std Dev
$26.11
Max
$58.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.09 and $56.66 per claim for this code.
90% bill between $17.05 and $57.67.
Top 1% bill above $58.27.
About This Procedure
HCPCS code 81105 was billed by 4 providers across 811 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 742 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$52.94
Providers Billing
4
National Spending
$24K
Avg/Median Ratio
0.79×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.