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#3733 of 11K

81314

HCPCS Procedure Code

HCPCS code 81314 is the #3,733 most-billed Medicaid procedure code, with $1.3M in payments across 21K claims from 2018–2024. The national median cost per claim is $61.35.

Total Paid

$1.3M

0.00% of all spending

Total Claims

21K

Providers

5

Avg Cost/Claim

$61

National Cost Distribution

How much do providers bill per claim for 81314? Based on 5 providers billing this code nationally.

Median

$61.35

Average

$58.61

Std Dev

$56.33

Max

$148.29

Percentile Distribution (Cost per Claim)

p10
$9.84
p25
$14.80
Median
$61.35
p75
$62.09
p90
$113.81
p95
$131.05
p99
$144.84

50% of providers bill between $14.80 and $62.09 per claim for this code.

90% bill between $9.84 and $113.81.

Top 1% bill above $144.84.

About This Procedure

HCPCS code 81314 was billed by 5 providers across 21K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.35

Providers Billing

5

National Spending

$1.3M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81314

#ProviderTotal Paid
11013973866$941K
21184045619$305K
31609388842$9K
4Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$6K
5Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$92

Showing top 5 of 5 providers billing this code