A9541
HCPCS Procedure Code
HCPCS code A9541 is the #4,196 most-billed Medicaid procedure code, with $760K in payments across 29K claims from 2018–2024. The national median cost per claim is $27.26. Costs vary widely — the 90th percentile is $165.84 per claim, 6.1× the median.
Total Paid
$760K
0.00% of all spending
Total Claims
29K
Providers
168
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for A9541? Based on 106 providers billing this code nationally.
Median
$27.26
Average
$54.90
Std Dev
$70.83
Max
$308.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.83 and $61.57 per claim for this code.
90% bill between $0.83 and $165.84.
Top 1% bill above $300.70.
About This Procedure
HCPCS code A9541 was billed by 168 providers across 29K claims, totaling $760K in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.26
Providers Billing
106
National Spending
$760K
Avg/Median Ratio
2.01×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A9541
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972004489 | $130K |
| 2 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $58K |
| 3 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $50K |
| 4 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $43K |
| 5 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $42K |
| 6 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $32K |
| 7 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $23K |
| 8 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $23K |
| 9 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $21K |
| 10 | 1184606600 | $21K |
| 11 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $20K |
| 12 | 1851352348 | $20K |
| 13 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $20K |
| 14 | 1538244918 | $20K |
| 15 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $17K |
| 16 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $16K |
| 17 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $15K |
| 18 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $14K |
| 19 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $14K |
| 20 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $12K |
Showing top 20 of 168 providers billing this code