81232
HCPCS Procedure Code
HCPCS code 81232 is the #6,006 most-billed Medicaid procedure code, with $108K in payments across 9,052 claims from 2018–2024. The national median cost per claim is $13.69. Costs vary widely — the 90th percentile is $74.16 per claim, 5.4× the median.
Total Paid
$108K
0.00% of all spending
Total Claims
9,052
Providers
48
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 81232? Based on 24 providers billing this code nationally.
Median
$13.69
Average
$31.29
Std Dev
$39.47
Max
$139.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.49 and $38.79 per claim for this code.
90% bill between $3.77 and $74.16.
Top 1% bill above $138.44.
About This Procedure
HCPCS code 81232 was billed by 48 providers across 9,052 claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 8,216 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.69
Providers Billing
24
National Spending
$108K
Avg/Median Ratio
2.29×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81232
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275971707 | $18K |
| 2 | 1669836227 | $15K |
| 3 | 1437585262 | $14K |
| 4 | Rca Laboratory Services, Llc Glen Allen, VA · Clinical Medical Laboratory | $14K |
| 5 | 1689975021 | $8K |
| 6 | 1184253650 | $7K |
| 7 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $7K |
| 8 | 1720409154 | $6K |
| 9 | 1447843750 | $5K |
| 10 | 1215390422 | $3K |
| 11 | Bioconfirm Laboratories Llc Doraville, GA · Clinical Medical Laboratory | $3K |
| 12 | 1235234402 | $2K |
| 13 | 1396384251 | $2K |
| 14 | 1710433057 | $1K |
| 15 | 1124438528 | $1K |
| 16 | 1215055256 | $541 |
| 17 | 1437605615 | $393 |
| 18 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $263 |
| 19 | 1780620526 | $191 |
| 20 | 1205800638 | $171 |
Showing top 20 of 48 providers billing this code