A9581
HCPCS Procedure Code
HCPCS code A9581 is the #4,411 most-billed Medicaid procedure code, with $607K in payments across 8K claims from 2018–2024. The national median cost per claim is $61.70.
Total Paid
$607K
0.00% of all spending
Total Claims
8K
Providers
31
Avg Cost/Claim
$73
National Cost Distribution
How much do providers bill per claim for A9581? Based on 26 providers billing this code nationally.
Median
$61.70
Average
$66.45
Std Dev
$41.68
Max
$166.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $44.20 and $92.57 per claim for this code.
90% bill between $8.60 and $112.09.
Top 1% bill above $158.12.
About This Procedure
HCPCS code A9581 was billed by 31 providers across 8K claims, totaling $607K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$61.70
Providers Billing
26
National Spending
$607K
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A9581
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487995700 | $145K |
| 2 | 1639172372 | $88K |
| 3 | 1881670248 | $84K |
| 4 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $62K |
| 5 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $39K |
| 6 | 1235105800 | $37K |
| 7 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $34K |
| 8 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $24K |
| 9 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $23K |
| 10 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $20K |
| 11 | 1942397880 | $18K |
| 12 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $11K |
| 13 | 1699874248 | $7K |
| 14 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $5K |
| 15 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $2K |
| 16 | 1790736551 | $2K |
| 17 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $1K |
| 18 | 1780771634 | $1K |
| 19 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $1K |
| 20 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $783 |
Showing top 20 of 31 providers billing this code