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#3359 of 11K

81470

HCPCS Procedure Code

HCPCS code 81470 is the #3,359 most-billed Medicaid procedure code, with $1.9M in payments across 13K claims from 2018–2024. The national median cost per claim is $124.03.

Total Paid

$1.9M

0.00% of all spending

Total Claims

13K

Providers

5

Avg Cost/Claim

$145

National Cost Distribution

How much do providers bill per claim for 81470? Based on 4 providers billing this code nationally.

Median

$124.03

Average

$106.88

Std Dev

$50.53

Max

$146.30

Percentile Distribution (Cost per Claim)

p10
$58.47
p25
$96.41
Median
$124.03
p75
$134.50
p90
$141.58
p95
$143.94
p99
$145.83

50% of providers bill between $96.41 and $134.50 per claim for this code.

90% bill between $58.47 and $141.58.

Top 1% bill above $145.83.

About This Procedure

HCPCS code 81470 was billed by 5 providers across 13K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$124.03

Providers Billing

4

National Spending

$1.9M

Avg/Median Ratio

0.86×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81470

#ProviderTotal Paid
1Genedx Llc

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

$1.8M
21548835911$12K
3Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$2K
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$896
51760076061$0

Showing top 5 of 5 providers billing this code