81264
HCPCS Procedure Code
HCPCS code 81264 is the #7,512 most-billed Medicaid procedure code, with $16K in payments across 597 claims from 2018–2024. The national median cost per claim is $26.13.
Total Paid
$16K
0.00% of all spending
Total Claims
597
Providers
2
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 81264? Based on 2 providers billing this code nationally.
Median
$26.13
Average
$26.13
Std Dev
$16.16
Max
$37.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.41 and $31.84 per claim for this code.
90% bill between $16.98 and $35.27.
Top 1% bill above $37.33.
About This Procedure
HCPCS code 81264 was billed by 2 providers across 597 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 552 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.13
Providers Billing
2
National Spending
$16K
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.