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#406 of 11K

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)

p10
$0.23
p25
$0.78
Median
$2.03
p75
$3.13
p90
$6.70
p95
$14.84
p99
$58.08

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

#ProviderTotal Paid
1Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$9.3M
2Spartanburg Medical Center

Spartanburg, SC · Ambulance

$5.9M
31093740128$5.8M
4Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$4.1M
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$3.3M
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$3.1M
7Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$2.3M
8Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$2.2M
9Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$2.1M
101467412726$2.1M
111326043548$1.7M
12Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$1.7M
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.6M
14Curators Of The University Of Missouri

Columbia, MO · General Acute Care Hospital

$1.6M
15Memorial Hermann Health System

Houston, TX · General Acute Care Hospital

$1.5M
161942247044$1.4M
171376686600$1.4M
181386619450$1.4M
191891766051$1.3M
201639186760$1.3M

Showing top 20 of 9K providers billing this code