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#5090 of 11K

81202

HCPCS Procedure Code

HCPCS code 81202 is the #5,090 most-billed Medicaid procedure code, with $295K in payments across 8K claims from 2018–2024. The national median cost per claim is $25.46.

Total Paid

$295K

0.00% of all spending

Total Claims

8K

Providers

2

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 81202? Based on 2 providers billing this code nationally.

Median

$25.46

Average

$25.46

Std Dev

$15.99

Max

$36.76

Percentile Distribution (Cost per Claim)

p10
$16.41
p25
$19.80
Median
$25.46
p75
$31.11
p90
$34.50
p95
$35.63
p99
$36.54

50% of providers bill between $19.80 and $31.11 per claim for this code.

90% bill between $16.41 and $34.50.

Top 1% bill above $36.54.

About This Procedure

HCPCS code 81202 was billed by 2 providers across 8K claims, totaling $295K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.46

Providers Billing

2

National Spending

$295K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.