81272
HCPCS Procedure Code
HCPCS code 81272 is the #3,577 most-billed Medicaid procedure code, with $1.5M in payments across 24K claims from 2018–2024. The national median cost per claim is $57.37.
Total Paid
$1.5M
0.00% of all spending
Total Claims
24K
Providers
8
Avg Cost/Claim
$61
National Cost Distribution
How much do providers bill per claim for 81272? Based on 8 providers billing this code nationally.
Median
$57.37
Average
$62.77
Std Dev
$65.77
Max
$214.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.07 and $65.00 per claim for this code.
90% bill between $9.51 and $110.13.
Top 1% bill above $203.78.
About This Procedure
HCPCS code 81272 was billed by 8 providers across 24K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$57.37
Providers Billing
8
National Spending
$1.5M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81272
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $978K |
| 2 | 1184045619 | $314K |
| 3 | 1740733708 | $143K |
| 4 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $26K |
| 5 | 1548611593 | $3K |
| 6 | 1295019990 | $2K |
| 7 | 1356783344 | $1K |
| 8 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $92 |
Showing top 8 of 8 providers billing this code