81422
HCPCS Procedure Code
HCPCS code 81422 is the #1,616 most-billed Medicaid procedure code, with $17.7M in payments across 251K claims from 2018–2024. The national median cost per claim is $60.25. Costs vary widely — the 90th percentile is $200.00 per claim, 3.3× the median.
Total Paid
$17.7M
0.00% of all spending
Total Claims
251K
Providers
45
Avg Cost/Claim
$71
National Cost Distribution
How much do providers bill per claim for 81422? Based on 31 providers billing this code nationally.
Median
$60.25
Average
$114.08
Std Dev
$169.66
Max
$657.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.48 and $119.09 per claim for this code.
90% bill between $2.00 and $200.00.
Top 1% bill above $639.23.
About This Procedure
HCPCS code 81422 was billed by 45 providers across 251K claims, totaling $17.7M in Medicaid payments from 2018–2024. This code was used for 219K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.25
Providers Billing
31
National Spending
$17.7M
Avg/Median Ratio
1.89×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81422
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $10.5M |
| 2 | 1235528225 | $1.6M |
| 3 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $1.4M |
| 4 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $897K |
| 5 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $691K |
| 6 | 1598314437 | $635K |
| 7 | 1730481078 | $395K |
| 8 | 1518415991 | $326K |
| 9 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $307K |
| 10 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $241K |
| 11 | 1366720906 | $217K |
| 12 | 1013924372 | $154K |
| 13 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $88K |
| 14 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $69K |
| 15 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $64K |
| 16 | 1114222817 | $36K |
| 17 | 1235234402 | $26K |
| 18 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $18K |
| 19 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $15K |
| 20 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $14K |
Showing top 20 of 45 providers billing this code