S0199
HCPCS Procedure Code
HCPCS code S0199 is the #967 most-billed Medicaid procedure code, with $52.7M in payments across 131K claims from 2018–2024. The national median cost per claim is $454.23.
Total Paid
$52.7M
0.00% of all spending
Total Claims
131K
Providers
168
Avg Cost/Claim
$403
National Cost Distribution
How much do providers bill per claim for S0199? Based on 144 providers billing this code nationally.
Median
$454.23
Average
$415.63
Std Dev
$172.67
Max
$803.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $325.62 and $527.09 per claim for this code.
90% bill between $151.29 and $597.25.
Top 1% bill above $741.19.
About This Procedure
HCPCS code S0199 was billed by 168 providers across 131K claims, totaling $52.7M in Medicaid payments from 2018–2024. This code was used for 126K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$454.23
Providers Billing
144
National Spending
$52.7M
Avg/Median Ratio
0.92×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S0199
| # | Provider | Total Paid |
|---|---|---|
| 1 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $10.0M |
| 2 | 1255469110 | $7.2M |
| 3 | 1336174325 | $3.6M |
| 4 | 1497847487 | $3.3M |
| 5 | 1487749495 | $2.3M |
| 6 | 1639218548 | $1.9M |
| 7 | 1922448836 | $1.9M |
| 8 | 1073608675 | $1.4M |
| 9 | 1730370594 | $1.1M |
| 10 | 1366496838 | $1.0M |
| 11 | 1053364034 | $961K |
| 12 | 1982798831 | $757K |
| 13 | 1598719189 | $720K |
| 14 | 1184641664 | $695K |
| 15 | 1043304769 | $673K |
| 16 | 1245493097 | $542K |
| 17 | 1962456558 | $526K |
| 18 | 1083667323 | $509K |
| 19 | 1225426588 | $487K |
| 20 | 1992899769 | $460K |
Showing top 20 of 168 providers billing this code