81350
HCPCS Procedure Code
HCPCS code 81350 is the #5,629 most-billed Medicaid procedure code, with $164K in payments across 10K claims from 2018–2024. The national median cost per claim is $18.26. Costs vary widely — the 90th percentile is $133.36 per claim, 7.3× the median.
Total Paid
$164K
0.00% of all spending
Total Claims
10K
Providers
28
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 81350? Based on 18 providers billing this code nationally.
Median
$18.26
Average
$42.75
Std Dev
$55.17
Max
$177.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.86 and $61.31 per claim for this code.
90% bill between $1.69 and $133.36.
Top 1% bill above $172.32.
About This Procedure
HCPCS code 81350 was billed by 28 providers across 10K claims, totaling $164K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.26
Providers Billing
18
National Spending
$164K
Avg/Median Ratio
2.34×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81350
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750373908 | $38K |
| 2 | 1124438528 | $31K |
| 3 | Rca Laboratory Services, Llc Glen Allen, VA · Clinical Medical Laboratory | $30K |
| 4 | 1437585262 | $25K |
| 5 | 1669836227 | $20K |
| 6 | 1760840482 | $9K |
| 7 | 1215390422 | $4K |
| 8 | 1366820870 | $2K |
| 9 | 1194474106 | $2K |
| 10 | 1710433057 | $1K |
| 11 | 1316983158 | $750 |
| 12 | 1124603071 | $735 |
| 13 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $538 |
| 14 | 1417391533 | $187 |
| 15 | 1588066278 | $125 |
| 16 | 1689633711 | $89 |
| 17 | 1780620526 | $85 |
| 18 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $19 |
| 19 | 1932843836 | $0 |
| 20 | 1619568367 | $0 |
Showing top 20 of 28 providers billing this code