81222
HCPCS Procedure Code
HCPCS code 81222 is the #4,032 most-billed Medicaid procedure code, with $914K in payments across 13K claims from 2018–2024. The national median cost per claim is $39.95. Costs vary widely — the 90th percentile is $192.75 per claim, 4.8× the median.
Total Paid
$914K
0.00% of all spending
Total Claims
13K
Providers
19
Avg Cost/Claim
$69
National Cost Distribution
How much do providers bill per claim for 81222? Based on 14 providers billing this code nationally.
Median
$39.95
Average
$81.17
Std Dev
$93.55
Max
$323.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.98 and $105.86 per claim for this code.
90% bill between $11.63 and $192.75.
Top 1% bill above $308.24.
About This Procedure
HCPCS code 81222 was billed by 19 providers across 13K claims, totaling $914K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.95
Providers Billing
14
National Spending
$914K
Avg/Median Ratio
2.03×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81222
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326484569 | $659K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $66K |
| 3 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $48K |
| 4 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $46K |
| 5 | 1447436514 | $26K |
| 6 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $23K |
| 7 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $22K |
| 8 | Fulgent Therapeutics Llc. El Monte, CA · Clinical Medical Laboratory | $19K |
| 9 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $2K |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $1K |
| 11 | Tricore Reference Laboratories Albuquerque, NM · Clinical Medical Laboratory | $870 |
| 12 | 1568461572 | $558 |
| 13 | 1518713072 | $326 |
| 14 | 1275536799 | $286 |
| 15 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $0 |
| 16 | 1033270699 | $0 |
| 17 | 1285643304 | $0 |
| 18 | 1124170691 | $0 |
| 19 | 1043271539 | $0 |
Showing top 19 of 19 providers billing this code