81418
HCPCS Procedure Code
HCPCS code 81418 is the #2,437 most-billed Medicaid procedure code, with $5.8M in payments across 40K claims from 2018–2024. The national median cost per claim is $56.78. Costs vary widely — the 90th percentile is $285.94 per claim, 5.0× the median.
Total Paid
$5.8M
0.00% of all spending
Total Claims
40K
Providers
16
Avg Cost/Claim
$145
National Cost Distribution
How much do providers bill per claim for 81418? Based on 9 providers billing this code nationally.
Median
$56.78
Average
$143.80
Std Dev
$229.91
Max
$733.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.12 and $154.23 per claim for this code.
90% bill between $1.82 and $285.94.
Top 1% bill above $688.89.
About This Procedure
HCPCS code 81418 was billed by 16 providers across 40K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.78
Providers Billing
9
National Spending
$5.8M
Avg/Median Ratio
2.53×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81418
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235363052 | $5.5M |
| 2 | 1740733708 | $166K |
| 3 | 1720409154 | $58K |
| 4 | 1790023547 | $19K |
| 5 | 1558067199 | $15K |
| 6 | 1841242542 | $1K |
| 7 | 1700329901 | $1K |
| 8 | 1376280727 | $599 |
| 9 | Gravity Diagnostics, Llc Covington, KY · Clinical Medical Laboratory | $0 |
| 10 | 1689264053 | $0 |
| 11 | 1487425492 | $0 |
| 12 | 1467850859 | $0 |
| 13 | 1083382592 | $0 |
| 14 | 1730798372 | $0 |
| 15 | 1891718136 | $0 |
| 16 | 1083134209 | $0 |
Showing top 16 of 16 providers billing this code