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#4915 of 11K

81244

HCPCS Procedure Code

HCPCS code 81244 is the #4,915 most-billed Medicaid procedure code, with $355K in payments across 22K claims from 2018–2024. The national median cost per claim is $18.85. Costs vary widely — the 90th percentile is $65.42 per claim, 3.5× the median.

Total Paid

$355K

0.00% of all spending

Total Claims

22K

Providers

25

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 81244? Based on 22 providers billing this code nationally.

Median

$18.85

Average

$32.25

Std Dev

$39.90

Max

$177.89

Percentile Distribution (Cost per Claim)

p10
$3.35
p25
$5.94
Median
$18.85
p75
$44.88
p90
$65.42
p95
$79.54
p99
$157.38

50% of providers bill between $5.94 and $44.88 per claim for this code.

90% bill between $3.35 and $65.42.

Top 1% bill above $157.38.

About This Procedure

HCPCS code 81244 was billed by 25 providers across 22K claims, totaling $355K in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.85

Providers Billing

22

National Spending

$355K

Avg/Median Ratio

1.71×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 81244

#ProviderTotal Paid
11326484569$124K
2Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$53K
3Genedx Llc

Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics

$38K
41689975021$27K
51326046467$22K
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$20K
71649225632$15K
8Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$14K
9Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$8K
10Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$7K
111548835911$6K
121811932940$5K
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$4K
14Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$4K
15Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$2K
16Richmond Medical Center

Staten Island, NY · Psychiatric Unit

$2K
171124269717$2K
18Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$970
19Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$637
201346328853$402

Showing top 20 of 25 providers billing this code