81465
HCPCS Procedure Code
HCPCS code 81465 is the #2,956 most-billed Medicaid procedure code, with $2.9M in payments across 19K claims from 2018–2024. The national median cost per claim is $260.74.
Total Paid
$2.9M
0.00% of all spending
Total Claims
19K
Providers
5
Avg Cost/Claim
$157
National Cost Distribution
How much do providers bill per claim for 81465? Based on 3 providers billing this code nationally.
Median
$260.74
Average
$281.47
Std Dev
$149.33
Max
$440.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $202.17 and $350.41 per claim for this code.
90% bill between $167.02 and $404.21.
Top 1% bill above $436.49.
About This Procedure
HCPCS code 81465 was billed by 5 providers across 19K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$260.74
Providers Billing
3
National Spending
$2.9M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81465
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $2.5M |
| 2 | 1629109137 | $274K |
| 3 | 1629512140 | $173K |
| 4 | 1427595354 | $0 |
| 5 | 1942813050 | $0 |
Showing top 5 of 5 providers billing this code