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#2956 of 11K

81465

HCPCS Procedure Code

HCPCS code 81465 is the #2,956 most-billed Medicaid procedure code, with $2.9M in payments across 19K claims from 2018–2024. The national median cost per claim is $260.74.

Total Paid

$2.9M

0.00% of all spending

Total Claims

19K

Providers

5

Avg Cost/Claim

$157

National Cost Distribution

How much do providers bill per claim for 81465? Based on 3 providers billing this code nationally.

Median

$260.74

Average

$281.47

Std Dev

$149.33

Max

$440.08

Percentile Distribution (Cost per Claim)

p10
$167.02
p25
$202.17
Median
$260.74
p75
$350.41
p90
$404.21
p95
$422.15
p99
$436.49

50% of providers bill between $202.17 and $350.41 per claim for this code.

90% bill between $167.02 and $404.21.

Top 1% bill above $436.49.

About This Procedure

HCPCS code 81465 was billed by 5 providers across 19K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$260.74

Providers Billing

3

National Spending

$2.9M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81465

#ProviderTotal Paid
1Genedx Llc

Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics

$2.5M
21629109137$274K
31629512140$173K
41427595354$0
51942813050$0

Showing top 5 of 5 providers billing this code