#2921 of 11K

S0220

HCPCS Procedure Code

HCPCS code S0220 is the #2,921 most-billed Medicaid procedure code, with $3.0M in payments across 74K claims from 2018–2024. The national median cost per claim is $62.26.

Total Paid

$3.0M

0.00% of all spending

Total Claims

74K

Providers

114

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for S0220? Based on 111 providers billing this code nationally.

Median

$62.26

Average

$63.68

Std Dev

$19.05

Max

$104.74

Percentile Distribution (Cost per Claim)

p10

$42.74

p25

$54.24

Median

$62.26

p75

$74.86

p90

$88.25

p95

$94.49

p99

$101.83

50% of providers bill between $54.24 and $74.86 per claim for this code.

90% bill between $42.74 and $88.25.

Top 1% bill above $101.83.

About This Procedure

HCPCS code S0220 was billed by 114 providers across 74K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.26

Providers Billing

111

National Spending

$3.0M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0220

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1609875186	$442K	$71.51	1.1× median	Above Median
2	1770535569	$162K	$67.02	1.1× median	Above Median
3	1831335744	$122K	$68.87	1.1× median	Above Median
4	1386728681	$113K	$63.72	1.0× median	Above Median
5	1366532103	$112K	$59.07	0.9× median	Below Median
6	1144404799	$110K	$46.66	0.7× median	Below Median
7	1821087123	$108K	$63.28	1.0× median	Above Median
8	1053364612	$89K	$53.16	0.9× median	Below Median
9	1699803577	$84K	$59.90	1.0× median	Below Median
10	1932281938	$80K	$69.78	1.1× median	Above Median
11	1902060684	$73K	$46.76	0.8× median	Below Median
12	1700950011	$71K	$54.54	0.9× median	Below Median
13	1457598302	$71K	$96.46	1.5× median	Top 10%
14	1629035043	$53K	$50.08	0.8× median	Below Median
15	1649542366	$53K	$83.86	1.3× median	Above 75th
16	1457398547	$51K	$62.26	1.0× median	Above Median
17	1366477911	$50K	$86.83	1.4× median	Above 75th
18	1326040692	$49K	$47.37	0.8× median	Below Median
19	1932119187	$48K	$47.18	0.8× median	Below Median
20	1689877862	$44K	$53.59	0.9× median	Below Median

Showing top 20 of 114 providers billing this code

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