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#7512 of 11K

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)

p10
$16.98
p25
$20.41
Median
$26.13
p75
$31.84
p90
$35.27
p95
$36.41
p99
$37.33

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.