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#2379 of 11K

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)

p10
$15.00
p25
$36.14
Median
$61.95
p75
$87.59
p90
$108.10
p95
$141.71
p99
$371.16

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

#ProviderTotal Paid
11649225632$2.6M
21811932940$1.8M
31659512325$601K
41770618589$310K
51184620411$238K
61922305036$218K
71154371623$78K
81922124866$63K
9Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$48K
101003267196$37K
111487725230$36K
121265530653$23K
131013906973$14K
141043328149$14K
151477624104$14K
161508968751$13K
171184783177$13K
181669617197$12K
191679622526$11K
201598040784$10K

Showing top 20 of 41 providers billing this code