81323
HCPCS Procedure Code
HCPCS code 81323 is the #4,169 most-billed Medicaid procedure code, with $788K in payments across 20K claims from 2018–2024. The national median cost per claim is $28.56. Costs vary widely — the 90th percentile is $111.70 per claim, 3.9× the median.
Total Paid
$788K
0.00% of all spending
Total Claims
20K
Providers
21
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 81323? Based on 18 providers billing this code nationally.
Median
$28.56
Average
$39.43
Std Dev
$48.58
Max
$156.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.99 and $37.21 per claim for this code.
90% bill between $1.66 and $111.70.
Top 1% bill above $155.77.
About This Procedure
HCPCS code 81323 was billed by 21 providers across 20K claims, totaling $788K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.56
Providers Billing
18
National Spending
$788K
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81323
| # | Provider | Total Paid |
|---|---|---|
| 1 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $281K |
| 2 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $166K |
| 3 | Bioconfirm Laboratories Llc Doraville, GA · Clinical Medical Laboratory | $121K |
| 4 | 1639577091 | $76K |
| 5 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $58K |
| 6 | 1790023547 | $41K |
| 7 | 1861568784 | $17K |
| 8 | 1649225632 | $10K |
| 9 | 1548835911 | $6K |
| 10 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $6K |
| 11 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $3K |
| 12 | 1518415991 | $2K |
| 13 | 1699172866 | $1K |
| 14 | 1518713072 | $462 |
| 15 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $345 |
| 16 | Myriad Genetic Laboratories, Inc. Salt Lake City, UT · Clinical Medical Laboratory | $160 |
| 17 | 1811484447 | $144 |
| 18 | 1417407727 | $67 |
| 19 | 1174009245 | $0 |
| 20 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $0 |
Showing top 20 of 21 providers billing this code