81414
HCPCS Procedure Code
HCPCS code 81414 is the #5,976 most-billed Medicaid procedure code, with $111K in payments across 2K claims from 2018–2024. The national median cost per claim is $75.85. Costs vary widely — the 90th percentile is $306.79 per claim, 4.0× the median.
Total Paid
$111K
0.00% of all spending
Total Claims
2K
Providers
16
Avg Cost/Claim
$72
National Cost Distribution
How much do providers bill per claim for 81414? Based on 8 providers billing this code nationally.
Median
$75.85
Average
$126.81
Std Dev
$131.42
Max
$371.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $50.20 and $170.08 per claim for this code.
90% bill between $8.57 and $306.79.
Top 1% bill above $365.19.
About This Procedure
HCPCS code 81414 was billed by 16 providers across 2K claims, totaling $111K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$75.85
Providers Billing
8
National Spending
$111K
Avg/Median Ratio
1.67×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81414
| # | Provider | Total Paid |
|---|---|---|
| 1 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $32K |
| 2 | 1609388842 | $30K |
| 3 | 1518039486 | $15K |
| 4 | 1861568784 | $14K |
| 5 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $13K |
| 6 | 1790109742 | $6K |
| 7 | 1689264053 | $936 |
| 8 | 1801212766 | $647 |
| 9 | 1205162955 | $0 |
| 10 | 1245835594 | $0 |
| 11 | 1649824350 | $0 |
| 12 | 1255879763 | $0 |
| 13 | 1114539046 | $0 |
| 14 | 1740715333 | $0 |
| 15 | 1467967745 | $0 |
| 16 | 1386023620 | $0 |
Showing top 16 of 16 providers billing this code