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#866 of 11K

81002

Urinalysis, non-automated without microscopy

Urinalysis, non-automated without microscopy is the #866 most-billed Medicaid procedure code, with $65.6M in payments across 27.4M claims from 2018–2024. The national median cost per claim is $2.00.

Total Paid

$65.6M

0.01% of all spending

Total Claims

27.4M

Providers

17K

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 81002? Based on 15K providers billing this code nationally.

Median

$2.00

Average

$2.48

Std Dev

$10.69

Max

$565.62

Percentile Distribution (Cost per Claim)

p10
$0.21
p25
$1.01
Median
$2.00
p75
$2.60
p90
$3.04
p95
$3.50
p99
$16.10

50% of providers bill between $1.01 and $2.60 per claim for this code.

90% bill between $0.21 and $3.04.

Top 1% bill above $16.10.

About This Procedure

HCPCS code 81002 (Urinalysis, non-automated without microscopy) was billed by 17K providers across 27.4M claims, totaling $65.6M in Medicaid payments from 2018–2024. This code was used for 21.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.00

Providers Billing

15K

National Spending

$65.6M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81002

#ProviderTotal Paid
11063480218$5.4M
21649299827$2.0M
3Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$1.4M
4Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$1.3M
51144203498$1.1M
6University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$813K
71699756221$731K
8University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$679K
91063494177$552K
10Norton Sound Health Corporation

Nome, AK · General Acute Care Hospital, Critical Access

$460K
11Community Physicians Of Indiana Inc

Indianapolis, IN · Internal Medicine

$380K
12Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$360K
13Chca Bayshore Lp

Pasadena, TX · Clinic/Center, Ambulatory Surgical

$358K
141366496937$355K
151679534069$308K
161497982268$307K
171427098169$306K
181700112745$261K
191124201280$225K
201821026352$219K

Showing top 20 of 17K providers billing this code