81470
HCPCS Procedure Code
HCPCS code 81470 is the #3,359 most-billed Medicaid procedure code, with $1.9M in payments across 13K claims from 2018–2024. The national median cost per claim is $124.03.
Total Paid
$1.9M
0.00% of all spending
Total Claims
13K
Providers
5
Avg Cost/Claim
$145
National Cost Distribution
How much do providers bill per claim for 81470? Based on 4 providers billing this code nationally.
Median
$124.03
Average
$106.88
Std Dev
$50.53
Max
$146.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $96.41 and $134.50 per claim for this code.
90% bill between $58.47 and $141.58.
Top 1% bill above $145.83.
About This Procedure
HCPCS code 81470 was billed by 5 providers across 13K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$124.03
Providers Billing
4
National Spending
$1.9M
Avg/Median Ratio
0.86×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81470
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $1.8M |
| 2 | 1548835911 | $12K |
| 3 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $2K |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $896 |
| 5 | 1760076061 | $0 |
Showing top 5 of 5 providers billing this code