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#5357 of 11K

81335

HCPCS Procedure Code

HCPCS code 81335 is the #5,357 most-billed Medicaid procedure code, with $221K in payments across 15K claims from 2018–2024. The national median cost per claim is $13.41. Costs vary widely — the 90th percentile is $56.32 per claim, 4.2× the median.

Total Paid

$221K

0.00% of all spending

Total Claims

15K

Providers

58

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 81335? Based on 30 providers billing this code nationally.

Median

$13.41

Average

$22.75

Std Dev

$29.17

Max

$133.76

Percentile Distribution (Cost per Claim)

p10
$2.59
p25
$5.60
Median
$13.41
p75
$25.04
p90
$56.32
p95
$79.63
p99
$119.46

50% of providers bill between $5.60 and $25.04 per claim for this code.

90% bill between $2.59 and $56.32.

Top 1% bill above $119.46.

About This Procedure

HCPCS code 81335 was billed by 58 providers across 15K claims, totaling $221K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.41

Providers Billing

30

National Spending

$221K

Avg/Median Ratio

1.70×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 81335

#ProviderTotal Paid
1Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$57K
21124438528$36K
31275971707$32K
41437585262$16K
51720409154$15K
61669836227$15K
7Crestar Labs Llc

Spring Hill, TN · Clinical Medical Laboratory

$9K
81992095087$7K
91184253650$7K
10Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$5K
111427406776$3K
121215390422$3K
131225488455$3K
141447843750$3K
151841798667$1K
161205355377$1K
171891467643$1K
181073642641$1K
191760189898$1K
201710433057$979

Showing top 20 of 58 providers billing this code