81165
HCPCS Procedure Code
HCPCS code 81165 is the #8,042 most-billed Medicaid procedure code, with $7K in payments across 154 claims from 2018–2024. The national median cost per claim is $25.12. Costs vary widely — the 90th percentile is $186.06 per claim, 7.4× the median.
Total Paid
$7K
0.00% of all spending
Total Claims
154
Providers
3
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 81165? Based on 3 providers billing this code nationally.
Median
$25.12
Average
$87.24
Std Dev
$120.65
Max
$226.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.72 and $125.71 per claim for this code.
90% bill between $13.28 and $186.06.
Top 1% bill above $222.28.
About This Procedure
HCPCS code 81165 was billed by 3 providers across 154 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 148 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.12
Providers Billing
3
National Spending
$7K
Avg/Median Ratio
3.47×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.