81310
HCPCS Procedure Code
HCPCS code 81310 is the #5,195 most-billed Medicaid procedure code, with $264K in payments across 6,207 claims from 2018–2024. The national median cost per claim is $46.13. Costs vary widely — the 90th percentile is $112.44 per claim, 2.4× the median.
Total Paid
$264K
0.00% of all spending
Total Claims
6,207
Providers
6
Avg Cost/Claim
$43
National Cost Distribution
How much do providers bill per claim for 81310? Based on 6 providers billing this code nationally.
Median
$46.13
Average
$61.04
Std Dev
$45.36
Max
$143.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.92 and $73.62 per claim for this code.
90% bill between $24.56 and $112.44.
Top 1% bill above $140.02.
About This Procedure
HCPCS code 81310 was billed by 6 providers across 6,207 claims, totaling $264K in Medicaid payments from 2018–2024. This code was used for 5,531 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.13
Providers Billing
6
National Spending
$264K
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81310
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1184045619 | $213K |
| 2 | 1265714091 | $31K |
| 3 | 1508215922 | $13K |
| 4 | 1447437355 | $4K |
| 5 | 1831600295 | $3K |
| 6 | 1740733708 | $306 |
Showing top 6 of 6 providers billing this code