81538
HCPCS Procedure Code
HCPCS code 81538 is the #7,546 most-billed Medicaid procedure code, with $15K in payments across 415 claims from 2018–2024. The national median cost per claim is $35.93.
Total Paid
$15K
0.00% of all spending
Total Claims
415
Providers
1
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 81538? Based on 1 providers billing this code nationally.
Median
$35.93
Average
$35.93
Std Dev
—
Max
$35.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $35.93 and $35.93 per claim for this code.
90% bill between $35.93 and $35.93.
Top 1% bill above $35.93.
About This Procedure
HCPCS code 81538 was billed by 1 providers across 415 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 375 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.93
Providers Billing
1
National Spending
$15K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.