81241
HCPCS Procedure Code
HCPCS code 81241 is the #3,223 most-billed Medicaid procedure code, with $2.2M in payments across 130K claims from 2018–2024. The national median cost per claim is $16.59. Costs vary widely — the 90th percentile is $50.51 per claim, 3.0× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
130K
Providers
195
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 81241? Based on 158 providers billing this code nationally.
Median
$16.59
Average
$21.25
Std Dev
$19.61
Max
$94.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.73 and $30.31 per claim for this code.
90% bill between $1.24 and $50.51.
Top 1% bill above $71.40.
About This Procedure
HCPCS code 81241 was billed by 195 providers across 130K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 121K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.59
Providers Billing
158
National Spending
$2.2M
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81241
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $306K |
| 2 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $166K |
| 3 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $114K |
| 4 | 1437585262 | $109K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $81K |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $74K |
| 7 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $71K |
| 8 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $64K |
| 9 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $62K |
| 10 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $59K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $59K |
| 12 | 1003221904 | $53K |
| 13 | 1780620526 | $47K |
| 14 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $44K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $39K |
| 16 | 1215914585 | $39K |
| 17 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $33K |
| 18 | 1215272406 | $29K |
| 19 | 1639541295 | $26K |
| 20 | 1881697464 | $25K |
Showing top 20 of 195 providers billing this code