81413
HCPCS Procedure Code
HCPCS code 81413 is the #5,585 most-billed Medicaid procedure code, with $172K in payments across 2K claims from 2018–2024. The national median cost per claim is $126.04. Costs vary widely — the 90th percentile is $344.04 per claim, 2.7× the median.
Total Paid
$172K
0.00% of all spending
Total Claims
2K
Providers
17
Avg Cost/Claim
$94
National Cost Distribution
How much do providers bill per claim for 81413? Based on 8 providers billing this code nationally.
Median
$126.04
Average
$149.90
Std Dev
$139.20
Max
$380.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.62 and $204.52 per claim for this code.
90% bill between $7.88 and $344.04.
Top 1% bill above $377.26.
About This Procedure
HCPCS code 81413 was billed by 17 providers across 2K claims, totaling $172K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$126.04
Providers Billing
8
National Spending
$172K
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81413
| # | Provider | Total Paid |
|---|---|---|
| 1 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $78K |
| 2 | 1609388842 | $43K |
| 3 | 1861568784 | $18K |
| 4 | 1518039486 | $14K |
| 5 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $10K |
| 6 | 1790109742 | $6K |
| 7 | 1689264053 | $936 |
| 8 | 1801212766 | $647 |
| 9 | 1568868446 | $0 |
| 10 | 1205162955 | $0 |
| 11 | 1649824350 | $0 |
| 12 | 1245835594 | $0 |
| 13 | 1255879763 | $0 |
| 14 | 1467967745 | $0 |
| 15 | 1740715333 | $0 |
| 16 | 1114539046 | $0 |
| 17 | 1386023620 | $0 |
Showing top 17 of 17 providers billing this code