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#1994 of 11K

81595

HCPCS Procedure Code

HCPCS code 81595 is the #1,994 most-billed Medicaid procedure code, with $10.4M in payments across 19K claims from 2018–2024. The national median cost per claim is $293.88.

Total Paid

$10.4M

0.00% of all spending

Total Claims

19K

Providers

2

Avg Cost/Claim

$550

National Cost Distribution

How much do providers bill per claim for 81595? Based on 2 providers billing this code nationally.

Median

$293.88

Average

$293.88

Std Dev

$367.16

Max

$553.50

Percentile Distribution (Cost per Claim)

p10
$86.18
p25
$164.07
Median
$293.88
p75
$423.69
p90
$501.57
p95
$527.54
p99
$548.31

50% of providers bill between $164.07 and $423.69 per claim for this code.

90% bill between $86.18 and $501.57.

Top 1% bill above $548.31.

About This Procedure

HCPCS code 81595 was billed by 2 providers across 19K claims, totaling $10.4M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$293.88

Providers Billing

2

National Spending

$10.4M

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.

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