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#4818 of 11K

81383

HCPCS Procedure Code

HCPCS code 81383 is the #4,818 most-billed Medicaid procedure code, with $387K in payments across 7,908 claims from 2018–2024. The national median cost per claim is $31.71. Costs vary widely — the 90th percentile is $76.45 per claim, 2.4× the median.

Total Paid

$387K

0.00% of all spending

Total Claims

7,908

Providers

15

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for 81383? Based on 13 providers billing this code nationally.

Median

$31.71

Average

$37.80

Std Dev

$36.48

Max

$135.70

Percentile Distribution (Cost per Claim)

p10
$7.02
p25
$13.64
Median
$31.71
p75
$40.79
p90
$76.45
p95
$103.39
p99
$129.24

50% of providers bill between $13.64 and $40.79 per claim for this code.

90% bill between $7.02 and $76.45.

Top 1% bill above $129.24.

About This Procedure

HCPCS code 81383 was billed by 15 providers across 7,908 claims, totaling $387K in Medicaid payments from 2018–2024. This code was used for 7,556 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.71

Providers Billing

13

National Spending

$387K

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81383

#ProviderTotal Paid
11881697464$219K
21437135886$75K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$43K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$26K
5Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$10K
6Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$5K
7Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$4K
8Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$3K
9Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$982
10Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$463
11Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$184
12Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$164
13Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$87
141801492558$0
15Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$0

Showing top 15 of 15 providers billing this code