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#3758 of 11K

81503

HCPCS Procedure Code

HCPCS code 81503 is the #3,758 most-billed Medicaid procedure code, with $1.2M in payments across 8K claims from 2018–2024. The national median cost per claim is $129.12.

Total Paid

$1.2M

0.00% of all spending

Total Claims

8K

Providers

2

Avg Cost/Claim

$150

National Cost Distribution

How much do providers bill per claim for 81503? Based on 2 providers billing this code nationally.

Median

$129.12

Average

$129.12

Std Dev

$30.52

Max

$150.71

Percentile Distribution (Cost per Claim)

p10
$111.86
p25
$118.33
Median
$129.12
p75
$139.91
p90
$146.39
p95
$148.55
p99
$150.27

50% of providers bill between $118.33 and $139.91 per claim for this code.

90% bill between $111.86 and $146.39.

Top 1% bill above $150.27.

About This Procedure

HCPCS code 81503 was billed by 2 providers across 8K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$129.12

Providers Billing

2

National Spending

$1.2M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.