81200
HCPCS Procedure Code
HCPCS code 81200 is the #2,343 most-billed Medicaid procedure code, with $6.6M in payments across 480K claims from 2018–2024. The national median cost per claim is $17.15. Costs vary widely — the 90th percentile is $46.55 per claim, 2.7× the median.
Total Paid
$6.6M
0.00% of all spending
Total Claims
480K
Providers
62
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 81200? Based on 53 providers billing this code nationally.
Median
$17.15
Average
$29.50
Std Dev
$35.21
Max
$170.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.02 and $38.36 per claim for this code.
90% bill between $4.37 and $46.55.
Top 1% bill above $155.56.
About This Procedure
HCPCS code 81200 was billed by 62 providers across 480K claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 418K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.15
Providers Billing
53
National Spending
$6.6M
Avg/Median Ratio
1.72×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81200
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $3.0M |
| 2 | 1114222817 | $910K |
| 3 | 1790023547 | $597K |
| 4 | 1689975021 | $403K |
| 5 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $300K |
| 6 | 1235528225 | $253K |
| 7 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $217K |
| 8 | 1326484569 | $145K |
| 9 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $103K |
| 10 | 1518415991 | $68K |
| 11 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $65K |
| 12 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $44K |
| 13 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $43K |
| 14 | 1063892396 | $41K |
| 15 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $41K |
| 16 | 1104829159 | $30K |
| 17 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $25K |
| 18 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $22K |
| 19 | 1013924372 | $22K |
| 20 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $22K |
Showing top 20 of 62 providers billing this code