81374
HCPCS Procedure Code
HCPCS code 81374 is the #2,865 most-billed Medicaid procedure code, with $3.3M in payments across 132K claims from 2018–2024. The national median cost per claim is $27.53. Costs vary widely — the 90th percentile is $64.64 per claim, 2.3× the median.
Total Paid
$3.3M
0.00% of all spending
Total Claims
132K
Providers
77
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for 81374? Based on 68 providers billing this code nationally.
Median
$27.53
Average
$32.77
Std Dev
$26.80
Max
$156.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.21 and $47.48 per claim for this code.
90% bill between $4.41 and $64.64.
Top 1% bill above $110.58.
About This Procedure
HCPCS code 81374 was billed by 77 providers across 132K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 125K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.53
Providers Billing
68
National Spending
$3.3M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81374
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $633K |
| 2 | 1437135886 | $461K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $412K |
| 4 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $331K |
| 5 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $248K |
| 6 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $207K |
| 7 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $139K |
| 8 | 1104829159 | $116K |
| 9 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $107K |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $98K |
| 11 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $62K |
| 12 | A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory | $50K |
| 13 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $50K |
| 14 | Health Network Laboratories, Llc Allentown, PA · Clinical Medical Laboratory | $34K |
| 15 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $33K |
| 16 | Tricore Reference Laboratories Albuquerque, NM · Clinical Medical Laboratory | $26K |
| 17 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $23K |
| 18 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $23K |
| 19 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $21K |
| 20 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $19K |
Showing top 20 of 77 providers billing this code