81301
HCPCS Procedure Code
HCPCS code 81301 is the #3,271 most-billed Medicaid procedure code, with $2.1M in payments across 31K claims from 2018–2024. The national median cost per claim is $74.15.
Total Paid
$2.1M
0.00% of all spending
Total Claims
31K
Providers
13
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 81301? Based on 12 providers billing this code nationally.
Median
$74.15
Average
$84.92
Std Dev
$36.88
Max
$148.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $58.48 and $122.27 per claim for this code.
90% bill between $40.28 and $124.85.
Top 1% bill above $146.17.
About This Procedure
HCPCS code 81301 was billed by 13 providers across 31K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$74.15
Providers Billing
12
National Spending
$2.1M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81301
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $1.3M |
| 2 | 1740733708 | $368K |
| 3 | 1184045619 | $228K |
| 4 | 1447437355 | $120K |
| 5 | 1780308262 | $35K |
| 6 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $11K |
| 7 | 1598314437 | $10K |
| 8 | 1730558602 | $10K |
| 9 | 1831600295 | $6K |
| 10 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $2K |
| 11 | 1245937325 | $1K |
| 12 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $997 |
| 13 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $0 |
Showing top 13 of 13 providers billing this code