S0119
HCPCS Procedure Code
HCPCS code S0119 is the #2,800 most-billed Medicaid procedure code, with $3.6M in payments across 513K claims from 2018–2024. The national median cost per claim is $0.40. Costs vary widely — the 90th percentile is $14.03 per claim, 35.1× the median.
Total Paid
$3.6M
0.00% of all spending
Total Claims
513K
Providers
456
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for S0119? Based on 289 providers billing this code nationally.
Median
$0.40
Average
$8.59
Std Dev
$33.57
Max
$316.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.10 and $2.35 per claim for this code.
90% bill between $0.03 and $14.03.
Top 1% bill above $167.70.
About This Procedure
HCPCS code S0119 was billed by 456 providers across 513K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 473K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.40
Providers Billing
289
National Spending
$3.6M
Avg/Median Ratio
21.47×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S0119
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $1.1M |
| 2 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $702K |
| 3 | 1538141627 | $314K |
| 4 | 1720088354 | $252K |
| 5 | 1346297843 | $186K |
| 6 | 1871556217 | $182K |
| 7 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $132K |
| 8 | 1831188275 | $103K |
| 9 | 1336167550 | $96K |
| 10 | 1780673376 | $47K |
| 11 | 1215927470 | $32K |
| 12 | 1336245828 | $30K |
| 13 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $25K |
| 14 | 1710065933 | $23K |
| 15 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $22K |
| 16 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $18K |
| 17 | 1427123132 | $17K |
| 18 | 1659425825 | $13K |
| 19 | 1144237272 | $10K |
| 20 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $10K |
Showing top 20 of 456 providers billing this code