81192
HCPCS Procedure Code
HCPCS code 81192 is the #6,638 most-billed Medicaid procedure code, with $51K in payments across 2K claims from 2018–2024. The national median cost per claim is $13.65. Costs vary widely — the 90th percentile is $41.70 per claim, 3.1× the median.
Total Paid
$51K
0.00% of all spending
Total Claims
2K
Providers
13
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 81192? Based on 9 providers billing this code nationally.
Median
$13.65
Average
$21.94
Std Dev
$33.32
Max
$108.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.21 and $15.59 per claim for this code.
90% bill between $1.55 and $41.70.
Top 1% bill above $101.88.
About This Procedure
HCPCS code 81192 was billed by 13 providers across 2K claims, totaling $51K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.65
Providers Billing
9
National Spending
$51K
Avg/Median Ratio
1.61×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81192
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1457977209 | $24K |
| 2 | 1013973866 | $17K |
| 3 | 1447843750 | $6K |
| 4 | 1528653334 | $3K |
| 5 | 1275292294 | $571 |
| 6 | 1760189898 | $406 |
| 7 | 1013525286 | $195 |
| 8 | 1134439573 | $187 |
| 9 | 1932843836 | $8 |
| 10 | 1881334290 | $0 |
| 11 | 1942813050 | $0 |
| 12 | 1366820870 | $0 |
| 13 | 1427595354 | $0 |
Showing top 13 of 13 providers billing this code