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#4458 of 11K

81339

HCPCS Procedure Code

HCPCS code 81339 is the #4,458 most-billed Medicaid procedure code, with $579K in payments across 20K claims from 2018–2024. The national median cost per claim is $22.88. Costs vary widely — the 90th percentile is $70.80 per claim, 3.1× the median.

Total Paid

$579K

0.00% of all spending

Total Claims

20K

Providers

33

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 81339? Based on 26 providers billing this code nationally.

Median

$22.88

Average

$30.43

Std Dev

$37.24

Max

$181.03

Percentile Distribution (Cost per Claim)

p10
$4.72
p25
$7.96
Median
$22.88
p75
$33.77
p90
$70.80
p95
$75.50
p99
$154.93

50% of providers bill between $7.96 and $33.77 per claim for this code.

90% bill between $4.72 and $70.80.

Top 1% bill above $154.93.

About This Procedure

HCPCS code 81339 was billed by 33 providers across 20K claims, totaling $579K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.88

Providers Billing

26

National Spending

$579K

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81339

#ProviderTotal Paid
11013973866$236K
21447437355$134K
3Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$71K
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$39K
5Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$34K
61396408829$27K
71780620526$11K
8Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$8K
91447296272$4K
10Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$3K
11Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$2K
121760189898$2K
13Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$2K
141447843750$2K
151528653334$2K
16Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$974
17Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$427
18Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$317
191639879034$293
201134439573$278

Showing top 20 of 33 providers billing this code