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#7372 of 11K

81288

HCPCS Procedure Code

HCPCS code 81288 is the #7,372 most-billed Medicaid procedure code, with $19K in payments across 828 claims from 2018–2024. The national median cost per claim is $34.70.

Total Paid

$19K

0.00% of all spending

Total Claims

828

Providers

6

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 81288? Based on 2 providers billing this code nationally.

Median

$34.70

Average

$34.70

Std Dev

$0.47

Max

$35.04

Percentile Distribution (Cost per Claim)

p10
$34.44
p25
$34.54
Median
$34.70
p75
$34.87
p90
$34.97
p95
$35.00
p99
$35.03

50% of providers bill between $34.54 and $34.87 per claim for this code.

90% bill between $34.44 and $34.97.

Top 1% bill above $35.03.

About This Procedure

HCPCS code 81288 was billed by 6 providers across 828 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 737 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.70

Providers Billing

2

National Spending

$19K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81288

#ProviderTotal Paid
11316370950$14K
21447437355$6K
31902347891$0
41346486644$0
51386116846$0
61639577091$0

Showing top 6 of 6 providers billing this code