81377
HCPCS Procedure Code
HCPCS code 81377 is the #4,793 most-billed Medicaid procedure code, with $397K in payments across 12K claims from 2018–2024. The national median cost per claim is $39.61. Costs vary widely — the 90th percentile is $96.75 per claim, 2.4× the median.
Total Paid
$397K
0.00% of all spending
Total Claims
12K
Providers
13
Avg Cost/Claim
$34
National Cost Distribution
How much do providers bill per claim for 81377? Based on 11 providers billing this code nationally.
Median
$39.61
Average
$55.65
Std Dev
$41.99
Max
$161.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.02 and $61.64 per claim for this code.
90% bill between $22.58 and $96.75.
Top 1% bill above $155.11.
About This Procedure
HCPCS code 81377 was billed by 13 providers across 12K claims, totaling $397K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.61
Providers Billing
11
National Spending
$397K
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81377
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1437135886 | $141K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $90K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $86K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $28K |
| 5 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $27K |
| 6 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $10K |
| 7 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $4K |
| 8 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $4K |
| 9 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $3K |
| 10 | 1699858373 | $3K |
| 11 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $474 |
| 12 | 1801492558 | $0 |
| 13 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $0 |
Showing top 13 of 13 providers billing this code