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#1332 of 11K

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)

p10
$30.33
p25
$73.54
Median
$143.67
p75
$205.23
p90
$257.52
p95
$282.99
p99
$390.70

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

#ProviderTotal Paid
1Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$2.8M
2The Toledo Hospital

Toledo, OH · Pediatrics

$2.7M
3Ochsner Clinic Foundation

New Orleans, LA · General Acute Care Hospital

$1.5M
4St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$1.4M
5The Miriam Hospital

Providence, RI · General Acute Care Hospital

$1.2M
61174925440$921K
7Tricore Reference Laboratories

Albuquerque, NM · Clinical Medical Laboratory

$731K
8Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$724K
9Henry Ford Health St. John Hospital

Chicago, IL · Clinic/Center, Ambulatory Surgical

$616K
101225316482$615K
11Jamaica Hospital

Richmond Hill, NY · General Acute Care Hospital

$610K
121174009245$593K
131306921887$589K
141598924458$576K
15Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$573K
16Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$456K
171497705537$451K
181548370745$437K
19Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$394K
201265437644$394K

Showing top 20 of 210 providers billing this code