Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3767 of 11K

81380

HCPCS Procedure Code

HCPCS code 81380 is the #3,767 most-billed Medicaid procedure code, with $1.2M in payments across 16K claims from 2018–2024. The national median cost per claim is $64.19.

Total Paid

$1.2M

0.00% of all spending

Total Claims

16K

Providers

4

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for 81380? Based on 4 providers billing this code nationally.

Median

$64.19

Average

$58.96

Std Dev

$19.57

Max

$74.87

Percentile Distribution (Cost per Claim)

p10
$39.51
p25
$49.89
Median
$64.19
p75
$73.27
p90
$74.23
p95
$74.55
p99
$74.81

50% of providers bill between $49.89 and $73.27 per claim for this code.

90% bill between $39.51 and $74.23.

Top 1% bill above $74.81.

About This Procedure

HCPCS code 81380 was billed by 4 providers across 16K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$64.19

Providers Billing

4

National Spending

$1.2M

Avg/Median Ratio

0.92×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.