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#964 of 11K

A9500

Technetium-99m radiopharmaceutical diagnostic imaging agent

Technetium-99m radiopharmaceutical diagnostic imaging agent is the #964 most-billed Medicaid procedure code, with $52.9M in payments across 802K claims from 2018–2024. The national median cost per claim is $64.30. Costs vary widely — the 90th percentile is $167.33 per claim, 2.6× the median.

Total Paid

$52.9M

0.00% of all spending

Total Claims

802K

Providers

1K

Avg Cost/Claim

$66

National Cost Distribution

How much do providers bill per claim for A9500? Based on 1K providers billing this code nationally.

Median

$64.30

Average

$77.64

Std Dev

$72.48

Max

$784.00

Percentile Distribution (Cost per Claim)

p10
$2.11
p25
$23.38
Median
$64.30
p75
$112.76
p90
$167.33
p95
$206.51
p99
$272.89

50% of providers bill between $23.38 and $112.76 per claim for this code.

90% bill between $2.11 and $167.33.

Top 1% bill above $272.89.

About This Procedure

HCPCS code A9500 (Technetium-99m radiopharmaceutical diagnostic imaging agent) was billed by 1K providers across 802K claims, totaling $52.9M in Medicaid payments from 2018–2024. This code was used for 721K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$64.30

Providers Billing

1K

National Spending

$52.9M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A9500

#ProviderTotal Paid
1Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$5.1M
21811214489$2.0M
31982689113$1.5M
4Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$890K
51760441141$848K
61427043777$679K
71437127297$642K
81962750224$475K
91457643306$445K
10Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$443K
11Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$434K
121861615452$423K
131427276773$411K
141184680480$405K
151225380603$394K
161336147859$391K
171265792527$388K
18Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$380K
191699704254$375K
201215042213$356K

Showing top 20 of 1K providers billing this code