81300
HCPCS Procedure Code
HCPCS code 81300 is the #3,909 most-billed Medicaid procedure code, with $1.0M in payments across 26K claims from 2018–2024. The national median cost per claim is $23.46. Costs vary widely — the 90th percentile is $67.10 per claim, 2.9× the median.
Total Paid
$1.0M
0.00% of all spending
Total Claims
26K
Providers
17
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 81300? Based on 14 providers billing this code nationally.
Median
$23.46
Average
$29.79
Std Dev
$27.48
Max
$87.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.40 and $42.62 per claim for this code.
90% bill between $0.90 and $67.10.
Top 1% bill above $85.02.
About This Procedure
HCPCS code 81300 was billed by 17 providers across 26K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.46
Providers Billing
14
National Spending
$1.0M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81300
| # | Provider | Total Paid |
|---|---|---|
| 1 | Myriad Genetic Laboratories, Inc. Salt Lake City, UT · Clinical Medical Laboratory | $467K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $180K |
| 3 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $163K |
| 4 | 1861568784 | $95K |
| 5 | Bioconfirm Laboratories Llc Doraville, GA · Clinical Medical Laboratory | $69K |
| 6 | 1639577091 | $30K |
| 7 | 1790023547 | $11K |
| 8 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $5K |
| 9 | 1649225632 | $4K |
| 10 | 1518415991 | $3K |
| 11 | 1699172866 | $1K |
| 12 | 1417407727 | $266 |
| 13 | 1518713072 | $179 |
| 14 | 1811484447 | $129 |
| 15 | 1336598325 | $0 |
| 16 | 1174009245 | $0 |
| 17 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $0 |
Showing top 17 of 17 providers billing this code