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#1499 of 11K

81000

Urinalysis with microscopy, non-automated

Urinalysis with microscopy, non-automated is the #1,499 most-billed Medicaid procedure code, with $21.0M in payments across 8.3M claims from 2018–2024. The national median cost per claim is $2.51.

Total Paid

$21.0M

0.00% of all spending

Total Claims

8.3M

Providers

4K

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 81000? Based on 4K providers billing this code nationally.

Median

$2.51

Average

$2.55

Std Dev

$3.11

Max

$63.73

Percentile Distribution (Cost per Claim)

p10
$0.24
p25
$1.23
Median
$2.51
p75
$3.13
p90
$3.66
p95
$4.23
p99
$16.00

50% of providers bill between $1.23 and $3.13 per claim for this code.

90% bill between $0.24 and $3.66.

Top 1% bill above $16.00.

About This Procedure

HCPCS code 81000 (Urinalysis with microscopy, non-automated) was billed by 4K providers across 8.3M claims, totaling $21.0M in Medicaid payments from 2018–2024. This code was used for 7.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.51

Providers Billing

4K

National Spending

$21.0M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81000

#ProviderTotal Paid
11639135221$361K
21750332565$323K
31861409823$251K
41316987050$250K
51194838821$245K
61124060843$237K
71720177066$224K
81598763666$187K
91568495364$173K
101568405793$146K
111538522412$144K
121689603748$143K
131609998137$139K
141184186496$132K
15Ochsner Clinic Foundation

New Orleans, LA · General Acute Care Hospital

$127K
161700106291$118K
17County Of Ventura

Ventura, CA · Clinic/Center, Emergency Care

$117K
181790750529$111K
191104961903$100K
201609275205$99K

Showing top 20 of 4K providers billing this code