81293
HCPCS Procedure Code
HCPCS code 81293 is the #5,503 most-billed Medicaid procedure code, with $185K in payments across 5,449 claims from 2018–2024. The national median cost per claim is $35.01.
Total Paid
$185K
0.00% of all spending
Total Claims
5,449
Providers
4
Avg Cost/Claim
$34
National Cost Distribution
How much do providers bill per claim for 81293? Based on 3 providers billing this code nationally.
Median
$35.01
Average
$34.92
Std Dev
$30.52
Max
$65.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.68 and $50.20 per claim for this code.
90% bill between $10.48 and $59.32.
Top 1% bill above $64.79.
About This Procedure
HCPCS code 81293 was billed by 4 providers across 5,449 claims, totaling $185K in Medicaid payments from 2018–2024. This code was used for 4,682 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.01
Providers Billing
3
National Spending
$185K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.