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#618 of 11K

81003

Urinalysis, automated without microscopy

Urinalysis, automated without microscopy is the #618 most-billed Medicaid procedure code, with $124.4M in payments across 52.9M claims from 2018–2024. The national median cost per claim is $1.48.

Total Paid

$124.4M

0.01% of all spending

Total Claims

52.9M

Providers

16K

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 81003? Based on 15K providers billing this code nationally.

Median

$1.48

Average

$2.65

Std Dev

$12.10

Max

$719.00

Percentile Distribution (Cost per Claim)

p10
$0.17
p25
$0.71
Median
$1.48
p75
$2.09
p90
$2.84
p95
$5.90
p99
$27.84

50% of providers bill between $0.71 and $2.09 per claim for this code.

90% bill between $0.17 and $2.84.

Top 1% bill above $27.84.

About This Procedure

HCPCS code 81003 (Urinalysis, automated without microscopy) was billed by 16K providers across 52.9M claims, totaling $124.4M in Medicaid payments from 2018–2024. This code was used for 45.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.48

Providers Billing

15K

National Spending

$124.4M

Avg/Median Ratio

1.79×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 81003

#ProviderTotal Paid
1Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$2.4M
21407301211$2.4M
31154373843$1.7M
41134187842$1.5M
5Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$1.5M
6Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1.5M
71962472860$1.4M
8Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$1.4M
9Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$1.2M
10Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$1.2M
11Spartanburg Medical Center

Spartanburg, SC · Ambulance

$1.1M
121487868097$1.1M
131801861190$1.0M
14Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$947K
151376686600$923K
161508856535$915K
171821186313$871K
18Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$868K
191225033020$800K
20Southeast Alaska Regional Health Consortium

Sitka, AK · Podiatrist

$782K

Showing top 20 of 16K providers billing this code