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#1419 of 11K

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)

p10
$0.09
p25
$1.14
Median
$10.42
p75
$23.07
p90
$37.28
p95
$68.31
p99
$517.31

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

#ProviderTotal Paid
1Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$4.9M
21699756221$1.6M
31184197683$1.4M
41134172000$1.1M
51366459570$1.1M
6University Of Kentucky

Lexington, KY · General Acute Care Hospital

$751K
7Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$452K
81497148456$420K
9Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$359K
10Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$339K
111306123344$315K
121922074434$276K
13Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$251K
14West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$227K
15Children's Hospital Corporation

Boston, MA · Clinic/Center

$215K
16Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$205K
17New York University

Boynton Beach, FL · Anesthesiology

$198K
18The Cooper Health System

Camden, NJ · General Acute Care Hospital

$193K
19City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$173K
20Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$164K

Showing top 20 of 893 providers billing this code