81364
HCPCS Procedure Code
HCPCS code 81364 is the #3,707 most-billed Medicaid procedure code, with $1.3M in payments across 24K claims from 2018–2024. The national median cost per claim is $68.32. Costs vary widely — the 90th percentile is $192.57 per claim, 2.8× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
24K
Providers
21
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for 81364? Based on 19 providers billing this code nationally.
Median
$68.32
Average
$94.90
Std Dev
$83.18
Max
$309.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $35.01 and $119.58 per claim for this code.
90% bill between $24.30 and $192.57.
Top 1% bill above $304.89.
About This Procedure
HCPCS code 81364 was billed by 21 providers across 24K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$68.32
Providers Billing
19
National Spending
$1.3M
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81364
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $411K |
| 2 | 1790023547 | $335K |
| 3 | 1326484569 | $97K |
| 4 | 1447436514 | $81K |
| 5 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $77K |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $56K |
| 7 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $54K |
| 8 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $53K |
| 9 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $40K |
| 10 | 1457977209 | $38K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $15K |
| 12 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $15K |
| 13 | 1780620526 | $7K |
| 14 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $7K |
| 15 | 1063892396 | $5K |
| 16 | 1689975021 | $5K |
| 17 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $4K |
| 18 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $3K |
| 19 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $234 |
| 20 | 1770207607 | $0 |
Showing top 20 of 21 providers billing this code