81304
HCPCS Procedure Code
HCPCS code 81304 is the #6,721 most-billed Medicaid procedure code, with $46K in payments across 6,972 claims from 2018–2024. The national median cost per claim is $12.97. Costs vary widely — the 90th percentile is $32.10 per claim, 2.5× the median.
Total Paid
$46K
0.00% of all spending
Total Claims
6,972
Providers
6
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 81304? Based on 4 providers billing this code nationally.
Median
$12.97
Average
$15.96
Std Dev
$16.61
Max
$35.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.21 and $26.71 per claim for this code.
90% bill between $2.21 and $32.10.
Top 1% bill above $35.33.
About This Procedure
HCPCS code 81304 was billed by 6 providers across 6,972 claims, totaling $46K in Medicaid payments from 2018–2024. This code was used for 6,445 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.97
Providers Billing
4
National Spending
$46K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81304
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $20K |
| 2 | 1861568784 | $13K |
| 3 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $12K |
| 4 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $222 |
| 5 | 1518713072 | $0 |
| 6 | 1629109137 | $0 |
Showing top 6 of 6 providers billing this code