S0080
HCPCS Procedure Code
HCPCS code S0080 is the #5,911 most-billed Medicaid procedure code, with $120K in payments across 4,093 claims from 2018–2024. The national median cost per claim is $12.22. Costs vary widely — the 90th percentile is $84.45 per claim, 6.9× the median.
Total Paid
$120K
0.00% of all spending
Total Claims
4,093
Providers
12
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for S0080? Based on 10 providers billing this code nationally.
Median
$12.22
Average
$30.52
Std Dev
$36.18
Max
$84.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.50 and $62.92 per claim for this code.
90% bill between $1.54 and $84.45.
Top 1% bill above $84.91.
About This Procedure
HCPCS code S0080 was billed by 12 providers across 4,093 claims, totaling $120K in Medicaid payments from 2018–2024. This code was used for 3,590 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.22
Providers Billing
10
National Spending
$120K
Avg/Median Ratio
2.50×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S0080
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $111K |
| 2 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $3K |
| 3 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $2K |
| 4 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $1K |
| 5 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $1K |
| 6 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $708 |
| 7 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $317 |
| 8 | 1699119818 | $244 |
| 9 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $244 |
| 10 | 1033112230 | $52 |
| 11 | 1144471715 | $0 |
| 12 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $0 |
Showing top 12 of 12 providers billing this code