A9573
HCPCS Procedure Code
HCPCS code A9573 is the #4,875 most-billed Medicaid procedure code, with $366K in payments across 26K claims from 2018–2024. The national median cost per claim is $19.63. Costs vary widely — the 90th percentile is $50.46 per claim, 2.6× the median.
Total Paid
$366K
0.00% of all spending
Total Claims
26K
Providers
78
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for A9573? Based on 41 providers billing this code nationally.
Median
$19.63
Average
$28.37
Std Dev
$35.37
Max
$189.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.51 and $36.26 per claim for this code.
90% bill between $0.18 and $50.46.
Top 1% bill above $165.15.
About This Procedure
HCPCS code A9573 was billed by 78 providers across 26K claims, totaling $366K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.63
Providers Billing
41
National Spending
$366K
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A9573
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Rochester Rochester, NY · General Acute Care Hospital | $74K |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $53K |
| 3 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $49K |
| 4 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $47K |
| 5 | U Of R Neurology Department Rochester, NY · Psychiatry & Neurology Neurology | $24K |
| 6 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $17K |
| 7 | 1720017528 | $15K |
| 8 | 1972548568 | $14K |
| 9 | 1487995700 | $13K |
| 10 | 1467442749 | $10K |
| 11 | United Health Services Hospitals, Inc. Binghamton, NY · General Acute Care Hospital | $7K |
| 12 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $5K |
| 13 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $5K |
| 14 | 1962442012 | $5K |
| 15 | 1194776351 | $4K |
| 16 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $3K |
| 17 | 1912288432 | $3K |
| 18 | 1730264128 | $3K |
| 19 | 1083759633 | $3K |
| 20 | 1134178346 | $2K |
Showing top 20 of 78 providers billing this code