81252
HCPCS Procedure Code
HCPCS code 81252 is the #4,814 most-billed Medicaid procedure code, with $387K in payments across 19K claims from 2018–2024. The national median cost per claim is $34.92.
Total Paid
$387K
0.00% of all spending
Total Claims
19K
Providers
12
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 81252? Based on 12 providers billing this code nationally.
Median
$34.92
Average
$35.85
Std Dev
$26.88
Max
$95.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.74 and $52.68 per claim for this code.
90% bill between $2.72 and $54.08.
Top 1% bill above $90.66.
About This Procedure
HCPCS code 81252 was billed by 12 providers across 19K claims, totaling $387K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.92
Providers Billing
12
National Spending
$387K
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81252
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790023547 | $139K |
| 2 | 1063892396 | $55K |
| 3 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $49K |
| 4 | 1326484569 | $47K |
| 5 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $33K |
| 6 | 1518415991 | $24K |
| 7 | 1457977209 | $17K |
| 8 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $16K |
| 9 | 1801212766 | $5K |
| 10 | 1043271539 | $2K |
| 11 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $427 |
| 12 | 1568860062 | $70 |
Showing top 12 of 12 providers billing this code