81175
HCPCS Procedure Code
HCPCS code 81175 is the #3,839 most-billed Medicaid procedure code, with $1.1M in payments across 11K claims from 2018–2024. The national median cost per claim is $73.10. Costs vary widely — the 90th percentile is $150.51 per claim, 2.1× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
11K
Providers
13
Avg Cost/Claim
$99
National Cost Distribution
How much do providers bill per claim for 81175? Based on 10 providers billing this code nationally.
Median
$73.10
Average
$102.58
Std Dev
$126.53
Max
$445.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.52 and $104.78 per claim for this code.
90% bill between $21.30 and $150.51.
Top 1% bill above $416.18.
About This Procedure
HCPCS code 81175 was billed by 13 providers across 11K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$73.10
Providers Billing
10
National Spending
$1.1M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81175
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $501K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $478K |
| 3 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $72K |
| 4 | 1457977209 | $23K |
| 5 | 1447843750 | $18K |
| 6 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $5K |
| 7 | 1528653334 | $3K |
| 8 | 1275292294 | $3K |
| 9 | 1518713072 | $1K |
| 10 | 1932843836 | $28 |
| 11 | 1013525286 | $0 |
| 12 | 1760189898 | $0 |
| 13 | 1881334290 | $0 |
Showing top 13 of 13 providers billing this code