81370
HCPCS Procedure Code
HCPCS code 81370 is the #4,575 most-billed Medicaid procedure code, with $508K in payments across 3K claims from 2018–2024. The national median cost per claim is $205.10. Costs vary widely — the 90th percentile is $621.35 per claim, 3.0× the median.
Total Paid
$508K
0.00% of all spending
Total Claims
3K
Providers
20
Avg Cost/Claim
$183
National Cost Distribution
How much do providers bill per claim for 81370? Based on 18 providers billing this code nationally.
Median
$205.10
Average
$358.75
Std Dev
$608.84
Max
$2,627.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.33 and $340.94 per claim for this code.
90% bill between $33.30 and $621.35.
Top 1% bill above $2,341.12.
About This Procedure
HCPCS code 81370 was billed by 20 providers across 3K claims, totaling $508K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$205.10
Providers Billing
18
National Spending
$508K
Avg/Median Ratio
1.75×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81370
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225033020 | $130K |
| 2 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $98K |
| 3 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $73K |
| 4 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $65K |
| 5 | 1154392231 | $32K |
| 6 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $31K |
| 7 | 1639172372 | $27K |
| 8 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $20K |
| 9 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $6K |
| 10 | 1083249577 | $5K |
| 11 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $5K |
| 12 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $4K |
| 13 | Oregon Health & Science University Portland, OR · General Practice | $3K |
| 14 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $3K |
| 15 | Tufts Medical Center, Inc. Boston, MA · General Acute Care Hospital | $2K |
| 16 | 1992703540 | $2K |
| 17 | 1457354656 | $1K |
| 18 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $907 |
| 19 | University Of Washington Seattle, WA · Clinic/Center, Dental | $0 |
| 20 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $0 |
Showing top 20 of 20 providers billing this code