81191
HCPCS Procedure Code
HCPCS code 81191 is the #5,868 most-billed Medicaid procedure code, with $127K in payments across 5K claims from 2018–2024. The national median cost per claim is $12.10. Costs vary widely — the 90th percentile is $47.02 per claim, 3.9× the median.
Total Paid
$127K
0.00% of all spending
Total Claims
5K
Providers
11
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 81191? Based on 10 providers billing this code nationally.
Median
$12.10
Average
$23.73
Std Dev
$32.17
Max
$108.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.26 and $26.04 per claim for this code.
90% bill between $3.57 and $47.02.
Top 1% bill above $102.42.
About This Procedure
HCPCS code 81191 was billed by 11 providers across 5K claims, totaling $127K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.10
Providers Billing
10
National Spending
$127K
Avg/Median Ratio
1.96×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81191
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740733708 | $48K |
| 2 | 1013973866 | $35K |
| 3 | 1457977209 | $24K |
| 4 | 1447843750 | $13K |
| 5 | 1528653334 | $3K |
| 6 | 1760189898 | $3K |
| 7 | 1275292294 | $571 |
| 8 | 1013525286 | $195 |
| 9 | 1134439573 | $187 |
| 10 | 1932843836 | $8 |
| 11 | 1881334290 | $0 |
Showing top 11 of 11 providers billing this code