81210
HCPCS Procedure Code
HCPCS code 81210 is the #3,615 most-billed Medicaid procedure code, with $1.4M in payments across 44K claims from 2018–2024. The national median cost per claim is $31.33. Costs vary widely — the 90th percentile is $118.67 per claim, 3.8× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
44K
Providers
25
Avg Cost/Claim
$32
National Cost Distribution
How much do providers bill per claim for 81210? Based on 24 providers billing this code nationally.
Median
$31.33
Average
$43.89
Std Dev
$44.30
Max
$167.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.88 and $43.40 per claim for this code.
90% bill between $10.01 and $118.67.
Top 1% bill above $161.99.
About This Procedure
HCPCS code 81210 was billed by 25 providers across 44K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.33
Providers Billing
24
National Spending
$1.4M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81210
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $425K |
| 2 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $305K |
| 3 | 1184045619 | $140K |
| 4 | 1740733708 | $132K |
| 5 | 1447437355 | $126K |
| 6 | 1134438427 | $86K |
| 7 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $51K |
| 8 | 1265714091 | $41K |
| 9 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $26K |
| 10 | 1205834769 | $18K |
| 11 | 1609388842 | $17K |
| 12 | 1447843750 | $16K |
| 13 | 1508215922 | $14K |
| 14 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $13K |
| 15 | 1871615708 | $5K |
| 16 | 1538559919 | $4K |
| 17 | 1699115857 | $3K |
| 18 | 1861137481 | $2K |
| 19 | 1457977209 | $2K |
| 20 | 1932445681 | $2K |
Showing top 20 of 25 providers billing this code