Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3128 of 11K

81456

HCPCS Procedure Code

HCPCS code 81456 is the #3,128 most-billed Medicaid procedure code, with $2.4M in payments across 6K claims from 2018–2024. The national median cost per claim is $247.42.

Total Paid

$2.4M

0.00% of all spending

Total Claims

6K

Providers

5

Avg Cost/Claim

$386

National Cost Distribution

How much do providers bill per claim for 81456? Based on 5 providers billing this code nationally.

Median

$247.42

Average

$233.30

Std Dev

$205.93

Max

$439.26

Percentile Distribution (Cost per Claim)

p10
$21.70
p25
$36.67
Median
$247.42
p75
$431.41
p90
$436.12
p95
$437.69
p99
$438.94

50% of providers bill between $36.67 and $431.41 per claim for this code.

90% bill between $21.70 and $436.12.

Top 1% bill above $438.94.

About This Procedure

HCPCS code 81456 was billed by 5 providers across 6K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$247.42

Providers Billing

5

National Spending

$2.4M

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81456

#ProviderTotal Paid
11740733708$2.4M
21972272276$41K
31346713989$15K
41720688054$15K
51780308262$3K

Showing top 5 of 5 providers billing this code