0081A
HCPCS Procedure Code
HCPCS code 0081A is the #3,246 most-billed Medicaid procedure code, with $2.1M in payments across 54K claims from 2018–2024. The national median cost per claim is $38.21.
Total Paid
$2.1M
0.00% of all spending
Total Claims
54K
Providers
656
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 0081A? Based on 626 providers billing this code nationally.
Median
$38.21
Average
$43.57
Std Dev
$61.62
Max
$640.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.80 and $41.42 per claim for this code.
90% bill between $20.90 and $60.39.
Top 1% bill above $326.22.
About This Procedure
HCPCS code 0081A was billed by 656 providers across 54K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 50K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.21
Providers Billing
626
National Spending
$2.1M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0081A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $87K |
| 2 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $83K |
| 3 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $76K |
| 4 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $60K |
| 5 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $49K |
| 6 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $42K |
| 7 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $33K |
| 8 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $31K |
| 9 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $29K |
| 10 | 1255875746 | $28K |
| 11 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $28K |
| 12 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $28K |
| 13 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $25K |
| 14 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $24K |
| 15 | 1598139883 | $23K |
| 16 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $21K |
| 17 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $20K |
| 18 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $19K |
| 19 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $19K |
| 20 | 1831209873 | $19K |
Showing top 20 of 656 providers billing this code