81194
HCPCS Procedure Code
HCPCS code 81194 is the #3,686 most-billed Medicaid procedure code, with $1.3M in payments across 14K claims from 2018–2024. The national median cost per claim is $97.19. Costs vary widely — the 90th percentile is $208.16 per claim, 2.1× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
14K
Providers
8
Avg Cost/Claim
$97
National Cost Distribution
How much do providers bill per claim for 81194? Based on 7 providers billing this code nationally.
Median
$97.19
Average
$123.69
Std Dev
$89.50
Max
$292.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $83.79 and $151.02 per claim for this code.
90% bill between $46.20 and $208.16.
Top 1% bill above $284.40.
About This Procedure
HCPCS code 81194 was billed by 8 providers across 14K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$97.19
Providers Billing
7
National Spending
$1.3M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81194
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $980K |
| 2 | 1740733708 | $294K |
| 3 | 1730558602 | $22K |
| 4 | 1780308262 | $20K |
| 5 | 1447437355 | $8K |
| 6 | 1447843750 | $6K |
| 7 | 1528653334 | $508 |
| 8 | 1881334290 | $0 |
Showing top 8 of 8 providers billing this code