81001
Urinalysis, automated, with microscopy
Urinalysis, automated, with microscopy is the #406 most-billed Medicaid procedure code, with $260.1M in payments across 85.1M claims from 2018–2024. The national median cost per claim is $2.03. Costs vary widely — the 90th percentile is $6.70 per claim, 3.3× the median.
Total Paid
$260.1M
0.02% of all spending
Total Claims
85.1M
Providers
9K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 81001? Based on 8K providers billing this code nationally.
Median
$2.03
Average
$4.56
Std Dev
$18.17
Max
$719.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.78 and $3.13 per claim for this code.
90% bill between $0.23 and $6.70.
Top 1% bill above $58.08.
About This Procedure
HCPCS code 81001 (Urinalysis, automated, with microscopy) was billed by 9K providers across 85.1M claims, totaling $260.1M in Medicaid payments from 2018–2024. This code was used for 76.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.03
Providers Billing
8K
National Spending
$260.1M
Avg/Median Ratio
2.25×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81001
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $9.3M |
| 2 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $5.9M |
| 3 | 1093740128 | $5.8M |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $4.1M |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $3.3M |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $3.1M |
| 7 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $2.3M |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $2.2M |
| 9 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $2.1M |
| 10 | 1467412726 | $2.1M |
| 11 | 1326043548 | $1.7M |
| 12 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.7M |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.6M |
| 14 | Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital | $1.6M |
| 15 | Memorial Hermann Health System Houston, TX · General Acute Care Hospital | $1.5M |
| 16 | 1942247044 | $1.4M |
| 17 | 1376686600 | $1.4M |
| 18 | 1386619450 | $1.4M |
| 19 | 1891766051 | $1.3M |
| 20 | 1639186760 | $1.3M |
Showing top 20 of 9K providers billing this code