81171
HCPCS Procedure Code
HCPCS code 81171 is the #7,336 most-billed Medicaid procedure code, with $21K in payments across 814 claims from 2018–2024. The national median cost per claim is $8.31. Costs vary widely — the 90th percentile is $51.92 per claim, 6.2× the median.
Total Paid
$21K
0.00% of all spending
Total Claims
814
Providers
8
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for 81171? Based on 6 providers billing this code nationally.
Median
$8.31
Average
$21.56
Std Dev
$33.88
Max
$90.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.72 and $12.40 per claim for this code.
90% bill between $4.44 and $51.92.
Top 1% bill above $86.53.
About This Procedure
HCPCS code 81171 was billed by 8 providers across 814 claims, totaling $21K in Medicaid payments from 2018–2024. This code was used for 781 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.31
Providers Billing
6
National Spending
$21K
Avg/Median Ratio
2.59×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81171
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1457977209 | $15K |
| 2 | 1447843750 | $4K |
| 3 | 1528653334 | $646 |
| 4 | 1275292294 | $377 |
| 5 | 1760189898 | $269 |
| 6 | 1013525286 | $129 |
| 7 | 1932843836 | $0 |
| 8 | 1881334290 | $0 |
Showing top 8 of 8 providers billing this code