81279
HCPCS Procedure Code
HCPCS code 81279 is the #3,819 most-billed Medicaid procedure code, with $1.1M in payments across 31K claims from 2018–2024. The national median cost per claim is $30.22. Costs vary widely — the 90th percentile is $75.64 per claim, 2.5× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
31K
Providers
47
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 81279? Based on 39 providers billing this code nationally.
Median
$30.22
Average
$40.89
Std Dev
$41.78
Max
$181.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.83 and $49.67 per claim for this code.
90% bill between $5.94 and $75.64.
Top 1% bill above $173.23.
About This Procedure
HCPCS code 81279 was billed by 47 providers across 31K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.22
Providers Billing
39
National Spending
$1.1M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81279
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $337K |
| 2 | 1447437355 | $176K |
| 3 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $156K |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $92K |
| 5 | 1699115857 | $68K |
| 6 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $58K |
| 7 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $41K |
| 8 | 1396408829 | $35K |
| 9 | 1780620526 | $34K |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $33K |
| 11 | 1467433292 | $12K |
| 12 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $11K |
| 13 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $11K |
| 14 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $10K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $10K |
| 16 | 1447296272 | $7K |
| 17 | 1558067199 | $4K |
| 18 | 1871615708 | $4K |
| 19 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $3K |
| 20 | 1841375094 | $3K |
Showing top 20 of 47 providers billing this code