81361
HCPCS Procedure Code
HCPCS code 81361 is the #1,678 most-billed Medicaid procedure code, with $16.3M in payments across 548K claims from 2018–2024. The national median cost per claim is $29.22. Costs vary widely — the 90th percentile is $114.47 per claim, 3.9× the median.
Total Paid
$16.3M
0.00% of all spending
Total Claims
548K
Providers
43
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 81361? Based on 42 providers billing this code nationally.
Median
$29.22
Average
$46.82
Std Dev
$38.69
Max
$122.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.52 and $56.84 per claim for this code.
90% bill between $8.97 and $114.47.
Top 1% bill above $122.89.
About This Procedure
HCPCS code 81361 was billed by 43 providers across 548K claims, totaling $16.3M in Medicaid payments from 2018–2024. This code was used for 479K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$29.22
Providers Billing
42
National Spending
$16.3M
Avg/Median Ratio
1.60×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81361
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $9.0M |
| 2 | 1598314437 | $3.5M |
| 3 | 1235528225 | $878K |
| 4 | 1689975021 | $730K |
| 5 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $719K |
| 6 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $144K |
| 7 | 1114222817 | $122K |
| 8 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $111K |
| 9 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $110K |
| 10 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $105K |
| 11 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $94K |
| 12 | 1063892396 | $88K |
| 13 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $85K |
| 14 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $69K |
| 15 | 1013924372 | $67K |
| 16 | 1033124961 | $66K |
| 17 | 1265418669 | $66K |
| 18 | 1609449941 | $66K |
| 19 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $59K |
| 20 | Laboratory Corporation Of America Houston, TX · Clinical Medical Laboratory | $47K |
Showing top 20 of 43 providers billing this code