81276
HCPCS Procedure Code
HCPCS code 81276 is the #3,681 most-billed Medicaid procedure code, with $1.3M in payments across 36K claims from 2018–2024. The national median cost per claim is $38.05.
Total Paid
$1.3M
0.00% of all spending
Total Claims
36K
Providers
9
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 81276? Based on 9 providers billing this code nationally.
Median
$38.05
Average
$33.55
Std Dev
$15.86
Max
$54.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.12 and $38.66 per claim for this code.
90% bill between $10.92 and $47.69.
Top 1% bill above $54.08.
About This Procedure
HCPCS code 81276 was billed by 9 providers across 36K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.05
Providers Billing
9
National Spending
$1.3M
Avg/Median Ratio
0.88×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81276
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $597K |
| 2 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $302K |
| 3 | 1184045619 | $188K |
| 4 | 1740733708 | $184K |
| 5 | 1447437355 | $56K |
| 6 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $14K |
| 7 | 1699115857 | $1K |
| 8 | 1871615708 | $876 |
| 9 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $57 |
Showing top 9 of 9 providers billing this code