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#6504 of 11K

81299

HCPCS Procedure Code

HCPCS code 81299 is the #6,504 most-billed Medicaid procedure code, with $60K in payments across 1,772 claims from 2018–2024. The national median cost per claim is $49.06.

Total Paid

$60K

0.00% of all spending

Total Claims

1,772

Providers

2

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 81299? Based on 2 providers billing this code nationally.

Median

$49.06

Average

$49.06

Std Dev

$23.48

Max

$65.66

Percentile Distribution (Cost per Claim)

p10
$35.78
p25
$40.76
Median
$49.06
p75
$57.36
p90
$62.34
p95
$64.00
p99
$65.33

50% of providers bill between $40.76 and $57.36 per claim for this code.

90% bill between $35.78 and $62.34.

Top 1% bill above $65.33.

About This Procedure

HCPCS code 81299 was billed by 2 providers across 1,772 claims, totaling $60K in Medicaid payments from 2018–2024. This code was used for 1,576 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.06

Providers Billing

2

National Spending

$60K

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.