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#5556 of 11K

81208

HCPCS Procedure Code

HCPCS code 81208 is the #5,556 most-billed Medicaid procedure code, with $177K in payments across 4,195 claims from 2018–2024. The national median cost per claim is $22.91. Costs vary widely — the 90th percentile is $85.95 per claim, 3.8× the median.

Total Paid

$177K

0.00% of all spending

Total Claims

4,195

Providers

6

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 81208? Based on 6 providers billing this code nationally.

Median

$22.91

Average

$38.17

Std Dev

$46.53

Max

$128.09

Percentile Distribution (Cost per Claim)

p10
$5.66
p25
$11.55
Median
$22.91
p75
$40.28
p90
$85.95
p95
$107.02
p99
$123.87

50% of providers bill between $11.55 and $40.28 per claim for this code.

90% bill between $5.66 and $85.95.

Top 1% bill above $123.87.

About This Procedure

HCPCS code 81208 was billed by 6 providers across 4,195 claims, totaling $177K in Medicaid payments from 2018–2024. This code was used for 3,643 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.91

Providers Billing

6

National Spending

$177K

Avg/Median Ratio

1.67×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 81208

#ProviderTotal Paid
11013973866$171K
21841375094$3K
31376548271$2K
41447437355$1K
5Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$154
6County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$120

Showing top 6 of 6 providers billing this code