81345
HCPCS Procedure Code
HCPCS code 81345 is the #4,826 most-billed Medicaid procedure code, with $385K in payments across 13K claims from 2018–2024. The national median cost per claim is $24.69. Costs vary widely — the 90th percentile is $99.35 per claim, 4.0× the median.
Total Paid
$385K
0.00% of all spending
Total Claims
13K
Providers
20
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 81345? Based on 15 providers billing this code nationally.
Median
$24.69
Average
$37.34
Std Dev
$47.80
Max
$160.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.46 and $38.50 per claim for this code.
90% bill between $4.59 and $99.35.
Top 1% bill above $157.40.
About This Procedure
HCPCS code 81345 was billed by 20 providers across 13K claims, totaling $385K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.69
Providers Billing
15
National Spending
$385K
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81345
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $199K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $92K |
| 3 | 1134438427 | $24K |
| 4 | 1598173502 | $24K |
| 5 | 1447843750 | $19K |
| 6 | 1457977209 | $12K |
| 7 | 1275292294 | $6K |
| 8 | 1558067199 | $4K |
| 9 | 1528653334 | $2K |
| 10 | 1760189898 | $1K |
| 11 | 1861137481 | $532 |
| 12 | 1134439573 | $296 |
| 13 | 1639879034 | $293 |
| 14 | 1124725817 | $182 |
| 15 | 1518366426 | $167 |
| 16 | 1861157364 | $0 |
| 17 | 1881334290 | $0 |
| 18 | 1699218172 | $0 |
| 19 | 1295019990 | $0 |
| 20 | 1760076061 | $0 |
Showing top 20 of 20 providers billing this code