81328
HCPCS Procedure Code
HCPCS code 81328 is the #4,559 most-billed Medicaid procedure code, with $514K in payments across 28K claims from 2018–2024. The national median cost per claim is $13.69. Costs vary widely — the 90th percentile is $74.89 per claim, 5.5× the median.
Total Paid
$514K
0.00% of all spending
Total Claims
28K
Providers
91
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 81328? Based on 50 providers billing this code nationally.
Median
$13.69
Average
$28.76
Std Dev
$37.40
Max
$143.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.65 and $28.47 per claim for this code.
90% bill between $1.74 and $74.89.
Top 1% bill above $139.65.
About This Procedure
HCPCS code 81328 was billed by 91 providers across 28K claims, totaling $514K in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.69
Providers Billing
50
National Spending
$514K
Avg/Median Ratio
2.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81328
| # | Provider | Total Paid |
|---|---|---|
| 1 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $75K |
| 2 | 1821360017 | $54K |
| 3 | 1124438528 | $45K |
| 4 | Gravity Diagnostics, Llc Covington, KY · Clinical Medical Laboratory | $44K |
| 5 | 1760840482 | $25K |
| 6 | 1497175905 | $23K |
| 7 | 1639541295 | $23K |
| 8 | 1275971707 | $21K |
| 9 | 1467850859 | $21K |
| 10 | 1437585262 | $18K |
| 11 | Rca Laboratory Services, Llc Glen Allen, VA · Clinical Medical Laboratory | $17K |
| 12 | 1215272406 | $15K |
| 13 | 1043271539 | $15K |
| 14 | 1669836227 | $14K |
| 15 | 1790023547 | $10K |
| 16 | Crestar Labs Llc Spring Hill, TN · Clinical Medical Laboratory | $9K |
| 17 | 1922259753 | $9K |
| 18 | 1427406776 | $8K |
| 19 | 1720409154 | $8K |
| 20 | 1184253650 | $7K |
Showing top 20 of 91 providers billing this code