81315
HCPCS Procedure Code
HCPCS code 81315 is the #7,025 most-billed Medicaid procedure code, with $31K in payments across 864 claims from 2018–2024. The national median cost per claim is $34.88.
Total Paid
$31K
0.00% of all spending
Total Claims
864
Providers
4
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 81315? Based on 4 providers billing this code nationally.
Median
$34.88
Average
$38.72
Std Dev
$14.30
Max
$58.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.01 and $43.59 per claim for this code.
90% bill between $27.79 and $52.72.
Top 1% bill above $58.20.
About This Procedure
HCPCS code 81315 was billed by 4 providers across 864 claims, totaling $31K in Medicaid payments from 2018–2024. This code was used for 823 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.88
Providers Billing
4
National Spending
$31K
Avg/Median Ratio
1.11×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.