81596
HCPCS Procedure Code
HCPCS code 81596 is the #2,375 most-billed Medicaid procedure code, with $6.3M in payments across 286K claims from 2018–2024. The national median cost per claim is $30.72. Costs vary widely — the 90th percentile is $72.92 per claim, 2.4× the median.
Total Paid
$6.3M
0.00% of all spending
Total Claims
286K
Providers
141
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for 81596? Based on 130 providers billing this code nationally.
Median
$30.72
Average
$38.70
Std Dev
$33.42
Max
$189.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.33 and $51.31 per claim for this code.
90% bill between $6.42 and $72.92.
Top 1% bill above $167.61.
About This Procedure
HCPCS code 81596 was billed by 141 providers across 286K claims, totaling $6.3M in Medicaid payments from 2018–2024. This code was used for 271K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.72
Providers Billing
130
National Spending
$6.3M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81596
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.3M |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $487K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $392K |
| 4 | Quest Diagnostics Venture Llc Pittsburgh, PA · Clinical Medical Laboratory | $344K |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $298K |
| 6 | 1780620526 | $270K |
| 7 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $262K |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $213K |
| 9 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $198K |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $193K |
| 11 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $184K |
| 12 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $170K |
| 13 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $144K |
| 14 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $128K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $113K |
| 16 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $94K |
| 17 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $92K |
| 18 | 1316983158 | $84K |
| 19 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $82K |
| 20 | Quest Diagnostics Incorporated Md Baltimore, MD · Clinical Medical Laboratory | $79K |
Showing top 20 of 141 providers billing this code