81455
HCPCS Procedure Code
HCPCS code 81455 is the #1,597 most-billed Medicaid procedure code, with $18.1M in payments across 33K claims from 2018–2024. The national median cost per claim is $538.58. Costs vary widely — the 90th percentile is $2,179.24 per claim, 4.0× the median.
Total Paid
$18.1M
0.00% of all spending
Total Claims
33K
Providers
40
Avg Cost/Claim
$541
National Cost Distribution
How much do providers bill per claim for 81455? Based on 38 providers billing this code nationally.
Median
$538.58
Average
$808.73
Std Dev
$900.06
Max
$3,608.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $255.84 and $840.68 per claim for this code.
90% bill between $104.57 and $2,179.24.
Top 1% bill above $3,542.89.
About This Procedure
HCPCS code 81455 was billed by 40 providers across 33K claims, totaling $18.1M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$538.58
Providers Billing
38
National Spending
$18.1M
Avg/Median Ratio
1.50×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81455
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740733708 | $9.0M |
| 2 | 1447437355 | $2.1M |
| 3 | 1013973866 | $1.7M |
| 4 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $1.3M |
| 5 | 1699884858 | $927K |
| 6 | 1720688054 | $396K |
| 7 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $343K |
| 8 | 1780308262 | $342K |
| 9 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $274K |
| 10 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $192K |
| 11 | Siparadigm Llc Pine Brook, NJ · Clinical Medical Laboratory | $139K |
| 12 | 1972272276 | $127K |
| 13 | 1124269717 | $125K |
| 14 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $125K |
| 15 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $122K |
| 16 | 1598314437 | $112K |
| 17 | Bioconfirm Laboratories Llc Doraville, GA · Clinical Medical Laboratory | $97K |
| 18 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $93K |
| 19 | 1508215922 | $87K |
| 20 | 1346713989 | $63K |
Showing top 20 of 40 providers billing this code