A9585
HCPCS Procedure Code
HCPCS code A9585 is the #1,419 most-billed Medicaid procedure code, with $23.8M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $10.42. Costs vary widely — the 90th percentile is $37.28 per claim, 3.6× the median.
Total Paid
$23.8M
0.00% of all spending
Total Claims
1.1M
Providers
893
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for A9585? Based on 699 providers billing this code nationally.
Median
$10.42
Average
$25.19
Std Dev
$85.22
Max
$961.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.14 and $23.07 per claim for this code.
90% bill between $0.09 and $37.28.
Top 1% bill above $517.31.
About This Procedure
HCPCS code A9585 was billed by 893 providers across 1.1M claims, totaling $23.8M in Medicaid payments from 2018–2024. This code was used for 972K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.42
Providers Billing
699
National Spending
$23.8M
Avg/Median Ratio
2.42×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A9585
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $4.9M |
| 2 | 1699756221 | $1.6M |
| 3 | 1184197683 | $1.4M |
| 4 | 1134172000 | $1.1M |
| 5 | 1366459570 | $1.1M |
| 6 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $751K |
| 7 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $452K |
| 8 | 1497148456 | $420K |
| 9 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $359K |
| 10 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $339K |
| 11 | 1306123344 | $315K |
| 12 | 1922074434 | $276K |
| 13 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $251K |
| 14 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $227K |
| 15 | Children's Hospital Corporation Boston, MA · Clinic/Center | $215K |
| 16 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $205K |
| 17 | New York University Boynton Beach, FL · Anesthesiology | $198K |
| 18 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $193K |
| 19 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $173K |
| 20 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $164K |
Showing top 20 of 893 providers billing this code