81336
HCPCS Procedure Code
HCPCS code 81336 is the #4,236 most-billed Medicaid procedure code, with $724K in payments across 11K claims from 2018–2024. The national median cost per claim is $80.00. Costs vary widely — the 90th percentile is $269.13 per claim, 3.4× the median.
Total Paid
$724K
0.00% of all spending
Total Claims
11K
Providers
9
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for 81336? Based on 8 providers billing this code nationally.
Median
$80.00
Average
$120.74
Std Dev
$100.30
Max
$294.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.73 and $151.48 per claim for this code.
90% bill between $38.11 and $269.13.
Top 1% bill above $291.78.
About This Procedure
HCPCS code 81336 was billed by 9 providers across 11K claims, totaling $724K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$80.00
Providers Billing
8
National Spending
$724K
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81336
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1063892396 | $311K |
| 2 | 1326484569 | $271K |
| 3 | 1134559685 | $65K |
| 4 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $50K |
| 5 | 1790023547 | $24K |
| 6 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $2K |
| 7 | 1518713072 | $1K |
| 8 | 1134439573 | $272 |
| 9 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $0 |
Showing top 9 of 9 providers billing this code