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#5585 of 11K

81413

HCPCS Procedure Code

HCPCS code 81413 is the #5,585 most-billed Medicaid procedure code, with $172K in payments across 2K claims from 2018–2024. The national median cost per claim is $126.04. Costs vary widely — the 90th percentile is $344.04 per claim, 2.7× the median.

Total Paid

$172K

0.00% of all spending

Total Claims

2K

Providers

17

Avg Cost/Claim

$94

National Cost Distribution

How much do providers bill per claim for 81413? Based on 8 providers billing this code nationally.

Median

$126.04

Average

$149.90

Std Dev

$139.20

Max

$380.95

Percentile Distribution (Cost per Claim)

p10
$7.88
p25
$48.62
Median
$126.04
p75
$204.52
p90
$344.04
p95
$362.50
p99
$377.26

50% of providers bill between $48.62 and $204.52 per claim for this code.

90% bill between $7.88 and $344.04.

Top 1% bill above $377.26.

About This Procedure

HCPCS code 81413 was billed by 17 providers across 2K claims, totaling $172K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$126.04

Providers Billing

8

National Spending

$172K

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81413

#ProviderTotal Paid
1Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$78K
21609388842$43K
31861568784$18K
41518039486$14K
5Genedx Llc

Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics

$10K
61790109742$6K
71689264053$936
81801212766$647
91568868446$0
101205162955$0
111649824350$0
121245835594$0
131255879763$0
141467967745$0
151740715333$0
161114539046$0
171386023620$0

Showing top 17 of 17 providers billing this code