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

#3680 of 11K

81120

HCPCS Procedure Code

HCPCS code 81120 is the #3,680 most-billed Medicaid procedure code, with $1.3M in payments across 17K claims from 2018–2024. The national median cost per claim is $61.94.

Total Paid

$1.3M

0.00% of all spending

Total Claims

17K

Providers

4

Avg Cost/Claim

$80

National Cost Distribution

How much do providers bill per claim for 81120? Based on 4 providers billing this code nationally.

Median

$61.94

Average

$70.26

Std Dev

$33.53

Max

$117.73

Percentile Distribution (Cost per Claim)

p10
$44.99
p25
$53.34
Median
$61.94
p75
$78.85
p90
$102.18
p95
$109.95
p99
$116.17

50% of providers bill between $53.34 and $78.85 per claim for this code.

90% bill between $44.99 and $102.18.

Top 1% bill above $116.17.

About This Procedure

HCPCS code 81120 was billed by 4 providers across 17K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.94

Providers Billing

4

National Spending

$1.3M

Avg/Median Ratio

1.13×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

Related Procedures