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#5587 of 11K

81224

HCPCS Procedure Code

HCPCS code 81224 is the #5,587 most-billed Medicaid procedure code, with $172K in payments across 6,826 claims from 2018–2024. The national median cost per claim is $79.86.

Total Paid

$172K

0.00% of all spending

Total Claims

6,826

Providers

2

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 81224? Based on 2 providers billing this code nationally.

Median

$79.86

Average

$79.86

Std Dev

$77.97

Max

$135.00

Percentile Distribution (Cost per Claim)

p10
$35.76
p25
$52.30
Median
$79.86
p75
$107.43
p90
$123.97
p95
$129.49
p99
$133.90

50% of providers bill between $52.30 and $107.43 per claim for this code.

90% bill between $35.76 and $123.97.

Top 1% bill above $133.90.

About This Procedure

HCPCS code 81224 was billed by 2 providers across 6,826 claims, totaling $172K in Medicaid payments from 2018–2024. This code was used for 5,865 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.86

Providers Billing

2

National Spending

$172K

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.