S0504
HCPCS Procedure Code
HCPCS code S0504 is the #1,741 most-billed Medicaid procedure code, with $14.9M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $9.20.
Total Paid
$14.9M
0.00% of all spending
Total Claims
1.5M
Providers
61
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for S0504? Based on 58 providers billing this code nationally.
Median
$9.20
Average
$9.82
Std Dev
$2.91
Max
$21.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.05 and $9.38 per claim for this code.
90% bill between $8.91 and $9.64.
Top 1% bill above $21.61.
About This Procedure
HCPCS code S0504 was billed by 61 providers across 1.5M claims, totaling $14.9M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.20
Providers Billing
58
National Spending
$14.9M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S0504
| # | Provider | Total Paid |
|---|---|---|
| 1 | Massachusetts Correctional Industries Gardner, MA · Eyewear Supplier (Equipment not the service) | $14.9M |
| 2 | 1215441696 | $48K |
| 3 | 1558498543 | $7K |
| 4 | 1972017358 | $5K |
| 5 | 1467894782 | $3K |
| 6 | 1326031527 | $2K |
| 7 | 1629029400 | $2K |
| 8 | 1063838274 | $2K |
| 9 | 1912049511 | $2K |
| 10 | 1265438956 | $1K |
| 11 | 1912046590 | $1K |
| 12 | 1891958930 | $945 |
| 13 | 1821098401 | $874 |
| 14 | 1053609420 | $790 |
| 15 | 1225189806 | $766 |
| 16 | 1578979647 | $730 |
| 17 | 1902903511 | $625 |
| 18 | 1942833397 | $621 |
| 19 | 1174623292 | $591 |
| 20 | 1891796314 | $580 |
Showing top 20 of 61 providers billing this code