81302
HCPCS Procedure Code
HCPCS code 81302 is the #3,404 most-billed Medicaid procedure code, with $1.8M in payments across 25K claims from 2018–2024. The national median cost per claim is $44.17. Costs vary widely — the 90th percentile is $382.83 per claim, 8.7× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
25K
Providers
24
Avg Cost/Claim
$70
National Cost Distribution
How much do providers bill per claim for 81302? Based on 16 providers billing this code nationally.
Median
$44.17
Average
$114.33
Std Dev
$144.47
Max
$422.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.07 and $111.44 per claim for this code.
90% bill between $14.98 and $382.83.
Top 1% bill above $422.29.
About This Procedure
HCPCS code 81302 was billed by 24 providers across 25K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.17
Providers Billing
16
National Spending
$1.8M
Avg/Median Ratio
2.59×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81302
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $793K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $505K |
| 3 | 1457977209 | $215K |
| 4 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $139K |
| 5 | 1861568784 | $44K |
| 6 | 1447843750 | $42K |
| 7 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $8K |
| 8 | 1396384251 | $8K |
| 9 | 1528653334 | $2K |
| 10 | 1518366426 | $2K |
| 11 | 1336245828 | $1K |
| 12 | 1275292294 | $1K |
| 13 | Vanderbilt University Medical Center Nashville, TN · Psychiatric Unit | $633 |
| 14 | 1629109137 | $528 |
| 15 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $386 |
| 16 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $380 |
| 17 | 1962921445 | $0 |
| 18 | 1871169706 | $0 |
| 19 | 1851059588 | $0 |
| 20 | 1942813050 | $0 |
Showing top 20 of 24 providers billing this code