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#5195 of 11K

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)

p10
$24.56
p25
$29.92
Median
$46.13
p75
$73.62
p90
$112.44
p95
$127.76
p99
$140.02

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

#ProviderTotal Paid
11184045619$213K
21265714091$31K
31508215922$13K
41447437355$4K
51831600295$3K
61740733708$306

Showing top 6 of 6 providers billing this code