81015
HCPCS Procedure Code
HCPCS code 81015 is the #2,995 most-billed Medicaid procedure code, with $2.8M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $1.38. Costs vary widely — the 90th percentile is $3.82 per claim, 2.8× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
1.4M
Providers
927
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 81015? Based on 803 providers billing this code nationally.
Median
$1.38
Average
$2.66
Std Dev
$6.82
Max
$88.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.50 and $2.54 per claim for this code.
90% bill between $0.11 and $3.82.
Top 1% bill above $34.19.
About This Procedure
HCPCS code 81015 was billed by 927 providers across 1.4M claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.38
Providers Billing
803
National Spending
$2.8M
Avg/Median Ratio
1.93×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81015
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1831269539 | $596K |
| 2 | 1679879589 | $123K |
| 3 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $80K |
| 4 | 1821147786 | $57K |
| 5 | 1801861190 | $48K |
| 6 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $47K |
| 7 | 1780614685 | $46K |
| 8 | 1861495335 | $42K |
| 9 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $39K |
| 10 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $39K |
| 11 | 1457345597 | $35K |
| 12 | 1366431702 | $34K |
| 13 | 1932146461 | $34K |
| 14 | 1205307378 | $32K |
| 15 | 1154361814 | $32K |
| 16 | 1780677039 | $32K |
| 17 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $31K |
| 18 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $30K |
| 19 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $29K |
| 20 | 1619038247 | $27K |
Showing top 20 of 927 providers billing this code