Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8668 of 11K

81109

HCPCS Procedure Code

HCPCS code 81109 is the #8,668 most-billed Medicaid procedure code, with $2K in payments across 23 claims from 2018–2024. The national median cost per claim is $70.94.

Total Paid

$2K

0.00% of all spending

Total Claims

23

Providers

1

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 81109? Based on 1 providers billing this code nationally.

Median

$70.94

Average

$70.94

Std Dev

Max

$70.94

Percentile Distribution (Cost per Claim)

p10
$70.94
p25
$70.94
Median
$70.94
p75
$70.94
p90
$70.94
p95
$70.94
p99
$70.94

50% of providers bill between $70.94 and $70.94 per claim for this code.

90% bill between $70.94 and $70.94.

Top 1% bill above $70.94.

About This Procedure

HCPCS code 81109 was billed by 1 providers across 23 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 15 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$70.94

Providers Billing

1

National Spending

$2K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.