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#3271 of 11K

81301

HCPCS Procedure Code

HCPCS code 81301 is the #3,271 most-billed Medicaid procedure code, with $2.1M in payments across 31K claims from 2018–2024. The national median cost per claim is $74.15.

Total Paid

$2.1M

0.00% of all spending

Total Claims

31K

Providers

13

Avg Cost/Claim

$67

National Cost Distribution

How much do providers bill per claim for 81301? Based on 12 providers billing this code nationally.

Median

$74.15

Average

$84.92

Std Dev

$36.88

Max

$148.77

Percentile Distribution (Cost per Claim)

p10
$40.28
p25
$58.48
Median
$74.15
p75
$122.27
p90
$124.85
p95
$135.74
p99
$146.17

50% of providers bill between $58.48 and $122.27 per claim for this code.

90% bill between $40.28 and $124.85.

Top 1% bill above $146.17.

About This Procedure

HCPCS code 81301 was billed by 13 providers across 31K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.15

Providers Billing

12

National Spending

$2.1M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81301

#ProviderTotal Paid
11013973866$1.3M
21740733708$368K
31184045619$228K
41447437355$120K
51780308262$35K
6Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$11K
71598314437$10K
81730558602$10K
91831600295$6K
10Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$2K
111245937325$1K
12Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$997
13Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$0

Showing top 13 of 13 providers billing this code