81261
HCPCS Procedure Code
HCPCS code 81261 is the #7,308 most-billed Medicaid procedure code, with $22K in payments across 595 claims from 2018–2024. The national median cost per claim is $35.59.
Total Paid
$22K
0.00% of all spending
Total Claims
595
Providers
2
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 81261? Based on 2 providers billing this code nationally.
Median
$35.59
Average
$35.59
Std Dev
$23.77
Max
$52.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.19 and $43.99 per claim for this code.
90% bill between $22.15 and $49.03.
Top 1% bill above $52.06.
About This Procedure
HCPCS code 81261 was billed by 2 providers across 595 claims, totaling $22K in Medicaid payments from 2018–2024. This code was used for 552 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.59
Providers Billing
2
National Spending
$22K
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.