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#4013 of 11K

81121

HCPCS Procedure Code

HCPCS code 81121 is the #4,013 most-billed Medicaid procedure code, with $933K in payments across 16K claims from 2018–2024. The national median cost per claim is $56.42.

Total Paid

$933K

0.00% of all spending

Total Claims

16K

Providers

4

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 81121? Based on 4 providers billing this code nationally.

Median

$56.42

Average

$61.36

Std Dev

$11.57

Max

$78.58

Percentile Distribution (Cost per Claim)

p10
$54.38
p25
$54.90
Median
$56.42
p75
$62.88
p90
$72.30
p95
$75.44
p99
$77.95

50% of providers bill between $54.90 and $62.88 per claim for this code.

90% bill between $54.38 and $72.30.

Top 1% bill above $77.95.

About This Procedure

HCPCS code 81121 was billed by 4 providers across 16K claims, totaling $933K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.42

Providers Billing

4

National Spending

$933K

Avg/Median Ratio

1.09×

Normal distribution

Provider Coverage

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

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