81402
HCPCS Procedure Code
HCPCS code 81402 is the #3,886 most-billed Medicaid procedure code, with $1.1M in payments across 50K claims from 2018–2024. The national median cost per claim is $26.09. Costs vary widely — the 90th percentile is $66.69 per claim, 2.6× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
50K
Providers
40
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 81402? Based on 39 providers billing this code nationally.
Median
$26.09
Average
$36.81
Std Dev
$41.74
Max
$215.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.37 and $45.83 per claim for this code.
90% bill between $4.29 and $66.69.
Top 1% bill above $189.28.
About This Procedure
HCPCS code 81402 was billed by 40 providers across 50K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.09
Providers Billing
39
National Spending
$1.1M
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81402
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467850859 | $369K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $98K |
| 3 | 1184045619 | $91K |
| 4 | 1518415991 | $82K |
| 5 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $63K |
| 6 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $59K |
| 7 | 1447437355 | $36K |
| 8 | 1750373908 | $29K |
| 9 | 1326484569 | $25K |
| 10 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $24K |
| 11 | 1114222817 | $22K |
| 12 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $20K |
| 13 | 1699115857 | $18K |
| 14 | 1689975021 | $17K |
| 15 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $16K |
| 16 | 1235234402 | $12K |
| 17 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $11K |
| 18 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $7K |
| 19 | 1003221904 | $7K |
| 20 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $6K |
Showing top 20 of 40 providers billing this code