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#7874 of 11K

A5081

HCPCS Procedure Code

HCPCS code A5081 is the #7,874 most-billed Medicaid procedure code, with $9K in payments across 1K claims from 2018–2024. The national median cost per claim is $17.81.

Total Paid

$9K

0.00% of all spending

Total Claims

1K

Providers

2

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for A5081? Based on 2 providers billing this code nationally.

Median

$17.81

Average

$17.81

Std Dev

$15.08

Max

$28.47

Percentile Distribution (Cost per Claim)

p10
$9.27
p25
$12.47
Median
$17.81
p75
$23.14
p90
$26.34
p95
$27.41
p99
$28.26

50% of providers bill between $12.47 and $23.14 per claim for this code.

90% bill between $9.27 and $26.34.

Top 1% bill above $28.26.

About This Procedure

HCPCS code A5081 was billed by 2 providers across 1K claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.81

Providers Billing

2

National Spending

$9K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.