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#6919 of 11K

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)

p10
$104.43
p25
$112.82
Median
$126.80
p75
$140.78
p90
$149.17
p95
$151.97
p99
$154.21

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.