81219
HCPCS Procedure Code
HCPCS code 81219 is the #4,261 most-billed Medicaid procedure code, with $706K in payments across 23K claims from 2018–2024. The national median cost per claim is $24.30. Costs vary widely — the 90th percentile is $90.64 per claim, 3.7× the median.
Total Paid
$706K
0.00% of all spending
Total Claims
23K
Providers
33
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 81219? Based on 32 providers billing this code nationally.
Median
$24.30
Average
$33.79
Std Dev
$29.79
Max
$119.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.89 and $38.94 per claim for this code.
90% bill between $8.28 and $90.64.
Top 1% bill above $111.81.
About This Procedure
HCPCS code 81219 was billed by 33 providers across 23K claims, totaling $706K in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.30
Providers Billing
32
National Spending
$706K
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81219
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447437355 | $155K |
| 2 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $132K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $110K |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $85K |
| 5 | 1699115857 | $40K |
| 6 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $26K |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $22K |
| 8 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $20K |
| 9 | 1396408829 | $20K |
| 10 | 1780620526 | $15K |
| 11 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $13K |
| 12 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $12K |
| 13 | 1447296272 | $9K |
| 14 | 1467433292 | $9K |
| 15 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $7K |
| 16 | 1871615708 | $6K |
| 17 | 1811955917 | $6K |
| 18 | 1124536107 | $5K |
| 19 | 1740460583 | $3K |
| 20 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $3K |
Showing top 20 of 33 providers billing this code