81514
HCPCS Procedure Code
HCPCS code 81514 is the #1,332 most-billed Medicaid procedure code, with $27.0M in payments across 242K claims from 2018–2024. The national median cost per claim is $143.67.
Total Paid
$27.0M
0.00% of all spending
Total Claims
242K
Providers
210
Avg Cost/Claim
$112
National Cost Distribution
How much do providers bill per claim for 81514? Based on 201 providers billing this code nationally.
Median
$143.67
Average
$145.97
Std Dev
$90.58
Max
$444.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $73.54 and $205.23 per claim for this code.
90% bill between $30.33 and $257.52.
Top 1% bill above $390.70.
About This Procedure
HCPCS code 81514 was billed by 210 providers across 242K claims, totaling $27.0M in Medicaid payments from 2018–2024. This code was used for 216K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$143.67
Providers Billing
201
National Spending
$27.0M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81514
| # | Provider | Total Paid |
|---|---|---|
| 1 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $2.8M |
| 2 | The Toledo Hospital Toledo, OH · Pediatrics | $2.7M |
| 3 | Ochsner Clinic Foundation New Orleans, LA · General Acute Care Hospital | $1.5M |
| 4 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $1.4M |
| 5 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $1.2M |
| 6 | 1174925440 | $921K |
| 7 | Tricore Reference Laboratories Albuquerque, NM · Clinical Medical Laboratory | $731K |
| 8 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $724K |
| 9 | Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical | $616K |
| 10 | 1225316482 | $615K |
| 11 | Jamaica Hospital Richmond Hill, NY · General Acute Care Hospital | $610K |
| 12 | 1174009245 | $593K |
| 13 | 1306921887 | $589K |
| 14 | 1598924458 | $576K |
| 15 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $573K |
| 16 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $456K |
| 17 | 1497705537 | $451K |
| 18 | 1548370745 | $437K |
| 19 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $394K |
| 20 | 1265437644 | $394K |
Showing top 20 of 210 providers billing this code