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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $171K |
| 2 | 1841375094 | $3K |
| 3 | 1376548271 | $2K |
| 4 | 1447437355 | $1K |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $154 |
| 6 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $120 |
Showing top 6 of 6 providers billing this code