A9579
HCPCS Procedure Code
HCPCS code A9579 is the #2,201 most-billed Medicaid procedure code, with $7.9M in payments across 393K claims from 2018–2024. The national median cost per claim is $13.25. Costs vary widely — the 90th percentile is $56.67 per claim, 4.3× the median.
Total Paid
$7.9M
0.00% of all spending
Total Claims
393K
Providers
598
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for A9579? Based on 458 providers billing this code nationally.
Median
$13.25
Average
$28.06
Std Dev
$65.30
Max
$788.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.12 and $26.70 per claim for this code.
90% bill between $0.22 and $56.67.
Top 1% bill above $304.16.
About This Procedure
HCPCS code A9579 was billed by 598 providers across 393K claims, totaling $7.9M in Medicaid payments from 2018–2024. This code was used for 349K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.25
Providers Billing
458
National Spending
$7.9M
Avg/Median Ratio
2.12×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A9579
| # | Provider | Total Paid |
|---|---|---|
| 1 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $1.4M |
| 2 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $885K |
| 3 | 1033183603 | $519K |
| 4 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $346K |
| 5 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $203K |
| 6 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $186K |
| 7 | 1619038247 | $161K |
| 8 | 1720537178 | $137K |
| 9 | 1558356493 | $124K |
| 10 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $121K |
| 11 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $118K |
| 12 | 1891736070 | $113K |
| 13 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $111K |
| 14 | 1528062429 | $108K |
| 15 | 1578584678 | $88K |
| 16 | Alameda Health System Oakland, CA · General Acute Care Hospital | $86K |
| 17 | 1235120676 | $86K |
| 18 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $83K |
| 19 | 1043376767 | $78K |
| 20 | 1184197683 | $75K |
Showing top 20 of 598 providers billing this code