81309
HCPCS Procedure Code
HCPCS code 81309 is the #3,837 most-billed Medicaid procedure code, with $1.1M in payments across 20K claims from 2018–2024. The national median cost per claim is $25.05. Costs vary widely — the 90th percentile is $56.41 per claim, 2.3× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
20K
Providers
16
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for 81309? Based on 14 providers billing this code nationally.
Median
$25.05
Average
$36.29
Std Dev
$44.68
Max
$175.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.01 and $48.23 per claim for this code.
90% bill between $3.88 and $56.41.
Top 1% bill above $160.08.
About This Procedure
HCPCS code 81309 was billed by 16 providers across 20K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.05
Providers Billing
14
National Spending
$1.1M
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81309
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $756K |
| 2 | 1184045619 | $113K |
| 3 | 1740733708 | $111K |
| 4 | 1457977209 | $63K |
| 5 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $39K |
| 6 | 1447843750 | $18K |
| 7 | 1528653334 | $1K |
| 8 | 1275292294 | $1K |
| 9 | 1760189898 | $808 |
| 10 | 1013525286 | $528 |
| 11 | 1134439573 | $468 |
| 12 | 1770207607 | $220 |
| 13 | 1871169706 | $218 |
| 14 | 1932843836 | $11 |
| 15 | 1881334290 | $0 |
| 16 | 1851059588 | $0 |
Showing top 16 of 16 providers billing this code