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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $963K |
| 2 | 1114222817 | $716K |
| 3 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $244K |
| 4 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $193K |
| 5 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $159K |
| 6 | 1689975021 | $136K |
| 7 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $111K |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $38K |
| 9 | 1629579826 | $22K |
| 10 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $512 |
| 11 | 1447843750 | $0 |
Showing top 11 of 11 providers billing this code