81330
HCPCS Procedure Code
HCPCS code 81330 is the #3,242 most-billed Medicaid procedure code, with $2.2M in payments across 149K claims from 2018–2024. The national median cost per claim is $13.18. Costs vary widely — the 90th percentile is $43.80 per claim, 3.3× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
149K
Providers
48
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 81330? Based on 42 providers billing this code nationally.
Median
$13.18
Average
$21.78
Std Dev
$29.53
Max
$167.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.67 and $27.71 per claim for this code.
90% bill between $1.61 and $43.80.
Top 1% bill above $135.45.
About This Procedure
HCPCS code 81330 was billed by 48 providers across 149K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 131K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.18
Providers Billing
42
National Spending
$2.2M
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81330
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114222817 | $584K |
| 2 | 1689975021 | $351K |
| 3 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $246K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $193K |
| 5 | 1326484569 | $131K |
| 6 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $129K |
| 7 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $93K |
| 8 | 1518415991 | $69K |
| 9 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $63K |
| 10 | 1063892396 | $50K |
| 11 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $43K |
| 12 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $34K |
| 13 | 1104829159 | $29K |
| 14 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $20K |
| 15 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $19K |
| 16 | 1265418669 | $14K |
| 17 | 1659726487 | $10K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $8K |
| 19 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $8K |
| 20 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $8K |
Showing top 20 of 48 providers billing this code