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#6416 of 11K

81318

HCPCS Procedure Code

HCPCS code 81318 is the #6,416 most-billed Medicaid procedure code, with $67K in payments across 1,802 claims from 2018–2024. The national median cost per claim is $36.88.

Total Paid

$67K

0.00% of all spending

Total Claims

1,802

Providers

3

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 81318? Based on 3 providers billing this code nationally.

Median

$36.88

Average

$36.34

Std Dev

$31.03

Max

$67.10

Percentile Distribution (Cost per Claim)

p10
$11.40
p25
$20.96
Median
$36.88
p75
$51.99
p90
$61.05
p95
$64.07
p99
$66.49

50% of providers bill between $20.96 and $51.99 per claim for this code.

90% bill between $11.40 and $61.05.

Top 1% bill above $66.49.

About This Procedure

HCPCS code 81318 was billed by 3 providers across 1,802 claims, totaling $67K in Medicaid payments from 2018–2024. This code was used for 1,597 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.88

Providers Billing

3

National Spending

$67K

Avg/Median Ratio

0.99×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.