Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6398 of 11K

81342

HCPCS Procedure Code

HCPCS code 81342 is the #6,398 most-billed Medicaid procedure code, with $69K in payments across 2K claims from 2018–2024. The national median cost per claim is $36.26.

Total Paid

$69K

0.00% of all spending

Total Claims

2K

Providers

5

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for 81342? Based on 5 providers billing this code nationally.

Median

$36.26

Average

$38.05

Std Dev

$25.57

Max

$66.22

Percentile Distribution (Cost per Claim)

p10
$12.15
p25
$19.67
Median
$36.26
p75
$60.95
p90
$64.11
p95
$65.17
p99
$66.01

50% of providers bill between $19.67 and $60.95 per claim for this code.

90% bill between $12.15 and $64.11.

Top 1% bill above $66.01.

About This Procedure

HCPCS code 81342 was billed by 5 providers across 2K claims, totaling $69K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.26

Providers Billing

5

National Spending

$69K

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81342

#ProviderTotal Paid
11447437355$42K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$18K
31508215922$6K
41871615708$3K
5Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$192

Showing top 5 of 5 providers billing this code