81170
HCPCS Procedure Code
HCPCS code 81170 is the #3,970 most-billed Medicaid procedure code, with $971K in payments across 13K claims from 2018–2024. The national median cost per claim is $80.31.
Total Paid
$971K
0.00% of all spending
Total Claims
13K
Providers
6
Avg Cost/Claim
$74
National Cost Distribution
How much do providers bill per claim for 81170? Based on 6 providers billing this code nationally.
Median
$80.31
Average
$98.26
Std Dev
$48.85
Max
$192.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $73.49 and $100.89 per claim for this code.
90% bill between $64.74 and $149.72.
Top 1% bill above $188.10.
About This Procedure
HCPCS code 81170 was billed by 6 providers across 13K claims, totaling $971K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$80.31
Providers Billing
6
National Spending
$971K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81170
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $671K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $265K |
| 3 | 1831600295 | $16K |
| 4 | 1447437355 | $11K |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $6K |
| 6 | 1548296106 | $1K |
Showing top 6 of 6 providers billing this code