S0265
HCPCS Procedure Code
HCPCS code S0265 is the #2,379 most-billed Medicaid procedure code, with $6.2M in payments across 50K claims from 2018–2024. The national median cost per claim is $61.95.
Total Paid
$6.2M
0.00% of all spending
Total Claims
50K
Providers
41
Avg Cost/Claim
$124
National Cost Distribution
How much do providers bill per claim for S0265? Based on 41 providers billing this code nationally.
Median
$61.95
Average
$72.83
Std Dev
$76.61
Max
$459.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.14 and $87.59 per claim for this code.
90% bill between $15.00 and $108.10.
Top 1% bill above $371.16.
About This Procedure
HCPCS code S0265 was billed by 41 providers across 50K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$61.95
Providers Billing
41
National Spending
$6.2M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S0265
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649225632 | $2.6M |
| 2 | 1811932940 | $1.8M |
| 3 | 1659512325 | $601K |
| 4 | 1770618589 | $310K |
| 5 | 1184620411 | $238K |
| 6 | 1922305036 | $218K |
| 7 | 1154371623 | $78K |
| 8 | 1922124866 | $63K |
| 9 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $48K |
| 10 | 1003267196 | $37K |
| 11 | 1487725230 | $36K |
| 12 | 1265530653 | $23K |
| 13 | 1013906973 | $14K |
| 14 | 1043328149 | $14K |
| 15 | 1477624104 | $14K |
| 16 | 1508968751 | $13K |
| 17 | 1184783177 | $13K |
| 18 | 1669617197 | $12K |
| 19 | 1679622526 | $11K |
| 20 | 1598040784 | $10K |
Showing top 20 of 41 providers billing this code