81460
HCPCS Procedure Code
HCPCS code 81460 is the #2,441 most-billed Medicaid procedure code, with $5.8M in payments across 31K claims from 2018–2024. The national median cost per claim is $286.53.
Total Paid
$5.8M
0.00% of all spending
Total Claims
31K
Providers
6
Avg Cost/Claim
$185
National Cost Distribution
How much do providers bill per claim for 81460? Based on 4 providers billing this code nationally.
Median
$286.53
Average
$337.25
Std Dev
$193.94
Max
$603.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $206.38 and $417.39 per claim for this code.
90% bill between $185.89 and $529.18.
Top 1% bill above $596.25.
About This Procedure
HCPCS code 81460 was billed by 6 providers across 31K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$286.53
Providers Billing
4
National Spending
$5.8M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81460
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $5.1M |
| 2 | 1629109137 | $376K |
| 3 | 1629512140 | $250K |
| 4 | 1861568784 | $81K |
| 5 | 1942813050 | $0 |
| 6 | 1427595354 | $0 |
Showing top 6 of 6 providers billing this code