81459
HCPCS Procedure Code
HCPCS code 81459 is the #6,919 most-billed Medicaid procedure code, with $37K in payments across 335 claims from 2018–2024. The national median cost per claim is $126.80.
Total Paid
$37K
0.00% of all spending
Total Claims
335
Providers
2
Avg Cost/Claim
$109
National Cost Distribution
How much do providers bill per claim for 81459? Based on 2 providers billing this code nationally.
Median
$126.80
Average
$126.80
Std Dev
$39.55
Max
$154.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $112.82 and $140.78 per claim for this code.
90% bill between $104.43 and $149.17.
Top 1% bill above $154.21.
About This Procedure
HCPCS code 81459 was billed by 2 providers across 335 claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 299 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$126.80
Providers Billing
2
National Spending
$37K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.