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#3075 of 11K

81412

HCPCS Procedure Code

HCPCS code 81412 is the #3,075 most-billed Medicaid procedure code, with $2.6M in payments across 6K claims from 2018–2024. The national median cost per claim is $361.76. Costs vary widely — the 90th percentile is $936.63 per claim, 2.6× the median.

Total Paid

$2.6M

0.00% of all spending

Total Claims

6K

Providers

11

Avg Cost/Claim

$403

National Cost Distribution

How much do providers bill per claim for 81412? Based on 10 providers billing this code nationally.

Median

$361.76

Average

$501.97

Std Dev

$470.70

Max

$1,560.22

Percentile Distribution (Cost per Claim)

p10
$135.39
p25
$158.66
Median
$361.76
p75
$768.00
p90
$936.63
p95
$1,248.43
p99
$1,497.86

50% of providers bill between $158.66 and $768.00 per claim for this code.

90% bill between $135.39 and $936.63.

Top 1% bill above $1,497.86.

About This Procedure

HCPCS code 81412 was billed by 11 providers across 6K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$361.76

Providers Billing

10

National Spending

$2.6M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81412

#ProviderTotal Paid
1New York City Health And Hospitals Corporation

Brooklyn, NY · Internal Medicine

$963K
21114222817$716K
3Natera Inc.

San Carlos, CA · Clinical Medical Laboratory

$244K
4St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$193K
5Myriad Women's Health, Inc.

South San Francisco, CA · Clinical Medical Laboratory

$159K
61689975021$136K
7Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$111K
8Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$38K
91629579826$22K
10Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$512
111447843750$0

Showing top 11 of 11 providers billing this code