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#3145 of 11K

S0028

HCPCS Procedure Code

HCPCS code S0028 is the #3,145 most-billed Medicaid procedure code, with $2.4M in payments across 371K claims from 2018–2024. The national median cost per claim is $0.83. Costs vary widely — the 90th percentile is $13.86 per claim, 16.7× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

371K

Providers

439

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for S0028? Based on 327 providers billing this code nationally.

Median

$0.83

Average

$11.78

Std Dev

$48.27

Max

$595.95

Percentile Distribution (Cost per Claim)

p10
$0.03
p25
$0.22
Median
$0.83
p75
$4.38
p90
$13.86
p95
$68.96
p99
$162.71

50% of providers bill between $0.22 and $4.38 per claim for this code.

90% bill between $0.03 and $13.86.

Top 1% bill above $162.71.

About This Procedure

HCPCS code S0028 was billed by 439 providers across 371K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 291K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.83

Providers Billing

327

National Spending

$2.4M

Avg/Median Ratio

14.19×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S0028

#ProviderTotal Paid
1Carolinas Medical Center

Charlotte, NC · General Acute Care Hospital

$328K
2Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$258K
31568493641$181K
41952333205$176K
51720537178$151K
61063442770$132K
71326041716$109K
81255572228$89K
91770515991$71K
101588697296$68K
111649200601$58K
121720019995$48K
131679900567$42K
141104812684$34K
151710931522$34K
161992786495$32K
171144251216$32K
181255644357$28K
191417432840$24K
201023387479$24K

Showing top 20 of 439 providers billing this code

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