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#7116 of 11K

81316

HCPCS Procedure Code

HCPCS code 81316 is the #7,116 most-billed Medicaid procedure code, with $28K in payments across 143 claims from 2018–2024. The national median cost per claim is $193.77.

Total Paid

$28K

0.00% of all spending

Total Claims

143

Providers

1

Avg Cost/Claim

$194

National Cost Distribution

How much do providers bill per claim for 81316? Based on 1 providers billing this code nationally.

Median

$193.77

Average

$193.77

Std Dev

Max

$193.77

Percentile Distribution (Cost per Claim)

p10
$193.77
p25
$193.77
Median
$193.77
p75
$193.77
p90
$193.77
p95
$193.77
p99
$193.77

50% of providers bill between $193.77 and $193.77 per claim for this code.

90% bill between $193.77 and $193.77.

Top 1% bill above $193.77.

About This Procedure

HCPCS code 81316 was billed by 1 providers across 143 claims, totaling $28K in Medicaid payments from 2018–2024. This code was used for 138 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$193.77

Providers Billing

1

National Spending

$28K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.