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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $328K |
| 2 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $258K |
| 3 | 1568493641 | $181K |
| 4 | 1952333205 | $176K |
| 5 | 1720537178 | $151K |
| 6 | 1063442770 | $132K |
| 7 | 1326041716 | $109K |
| 8 | 1255572228 | $89K |
| 9 | 1770515991 | $71K |
| 10 | 1588697296 | $68K |
| 11 | 1649200601 | $58K |
| 12 | 1720019995 | $48K |
| 13 | 1679900567 | $42K |
| 14 | 1104812684 | $34K |
| 15 | 1710931522 | $34K |
| 16 | 1992786495 | $32K |
| 17 | 1144251216 | $32K |
| 18 | 1255644357 | $28K |
| 19 | 1417432840 | $24K |
| 20 | 1023387479 | $24K |
Showing top 20 of 439 providers billing this code