Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4398 of 11K

81439

HCPCS Procedure Code

HCPCS code 81439 is the #4,398 most-billed Medicaid procedure code, with $613K in payments across 5K claims from 2018–2024. The national median cost per claim is $136.62. Costs vary widely — the 90th percentile is $400.37 per claim, 2.9× the median.

Total Paid

$613K

0.00% of all spending

Total Claims

5K

Providers

16

Avg Cost/Claim

$114

National Cost Distribution

How much do providers bill per claim for 81439? Based on 9 providers billing this code nationally.

Median

$136.62

Average

$192.02

Std Dev

$179.82

Max

$584.90

Percentile Distribution (Cost per Claim)

p10
$26.95
p25
$110.71
Median
$136.62
p75
$225.93
p90
$400.37
p95
$492.64
p99
$566.45

50% of providers bill between $110.71 and $225.93 per claim for this code.

90% bill between $26.95 and $400.37.

Top 1% bill above $566.45.

About This Procedure

HCPCS code 81439 was billed by 16 providers across 5K claims, totaling $613K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$136.62

Providers Billing

9

National Spending

$613K

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81439

#ProviderTotal Paid
1Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$376K
21609388842$145K
31861568784$40K
4Genedx Llc

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

$19K
51316311863$13K
6Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$8K
71518713072$7K
81518039486$4K
91699218172$600
101548820046$0
111861032633$0
121730570466$0
131033602560$0
141568868446$0
151447843750$0
161275987034$0

Showing top 16 of 16 providers billing this code