81376
HCPCS Procedure Code
HCPCS code 81376 is the #3,924 most-billed Medicaid procedure code, with $1.0M in payments across 14K claims from 2018–2024. The national median cost per claim is $48.41. Costs vary widely — the 90th percentile is $166.83 per claim, 3.4× the median.
Total Paid
$1.0M
0.00% of all spending
Total Claims
14K
Providers
34
Avg Cost/Claim
$74
National Cost Distribution
How much do providers bill per claim for 81376? Based on 33 providers billing this code nationally.
Median
$48.41
Average
$80.27
Std Dev
$72.64
Max
$329.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $37.15 and $128.39 per claim for this code.
90% bill between $19.31 and $166.83.
Top 1% bill above $299.84.
About This Procedure
HCPCS code 81376 was billed by 34 providers across 14K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$48.41
Providers Billing
33
National Spending
$1.0M
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81376
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881697464 | $234K |
| 2 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $171K |
| 3 | 1083249577 | $115K |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $66K |
| 5 | 1447296272 | $61K |
| 6 | 1952546616 | $51K |
| 7 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $46K |
| 8 | 1972557064 | $40K |
| 9 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $32K |
| 10 | 1225033020 | $29K |
| 11 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $27K |
| 12 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $26K |
| 13 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $21K |
| 14 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $20K |
| 15 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $12K |
| 16 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $10K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $9K |
| 18 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $8K |
| 19 | 1639172372 | $6K |
| 20 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $5K |
Showing top 20 of 34 providers billing this code