81351
HCPCS Procedure Code
HCPCS code 81351 is the #3,620 most-billed Medicaid procedure code, with $1.4M in payments across 13K claims from 2018–2024. The national median cost per claim is $110.12. Costs vary widely — the 90th percentile is $392.62 per claim, 3.6× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
13K
Providers
21
Avg Cost/Claim
$106
National Cost Distribution
How much do providers bill per claim for 81351? Based on 13 providers billing this code nationally.
Median
$110.12
Average
$145.10
Std Dev
$158.51
Max
$513.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.68 and $145.31 per claim for this code.
90% bill between $10.28 and $392.62.
Top 1% bill above $505.44.
About This Procedure
HCPCS code 81351 was billed by 21 providers across 13K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$110.12
Providers Billing
13
National Spending
$1.4M
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81351
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $1.2M |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $105K |
| 3 | 1649225632 | $54K |
| 4 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $53K |
| 5 | 1447843750 | $15K |
| 6 | 1518713072 | $13K |
| 7 | 1457977209 | $10K |
| 8 | 1396384251 | $9K |
| 9 | 1528653334 | $3K |
| 10 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $2K |
| 11 | 1518366426 | $1K |
| 12 | 1861137481 | $347 |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $261 |
| 14 | 1942813050 | $0 |
| 15 | 1376645135 | $0 |
| 16 | 1760189898 | $0 |
| 17 | 1427595354 | $0 |
| 18 | 1760076061 | $0 |
| 19 | 1275292294 | $0 |
| 20 | 1851059588 | $0 |
Showing top 20 of 21 providers billing this code