81539
HCPCS Procedure Code
HCPCS code 81539 is the #3,756 most-billed Medicaid procedure code, with $1.2M in payments across 10K claims from 2018–2024. The national median cost per claim is $107.82.
Total Paid
$1.2M
0.00% of all spending
Total Claims
10K
Providers
2
Avg Cost/Claim
$127
National Cost Distribution
How much do providers bill per claim for 81539? Based on 2 providers billing this code nationally.
Median
$107.82
Average
$107.82
Std Dev
$41.67
Max
$137.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $93.09 and $122.56 per claim for this code.
90% bill between $84.25 and $131.39.
Top 1% bill above $136.70.
About This Procedure
HCPCS code 81539 was billed by 2 providers across 10K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$107.82
Providers Billing
2
National Spending
$1.2M
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.