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#1741 of 11K

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)

p10
$8.91
p25
$9.05
Median
$9.20
p75
$9.38
p90
$9.64
p95
$15.14
p99
$21.61

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

#ProviderTotal Paid
1Massachusetts Correctional Industries

Gardner, MA · Eyewear Supplier (Equipment not the service)

$14.9M
21215441696$48K
31558498543$7K
41972017358$5K
51467894782$3K
61326031527$2K
71629029400$2K
81063838274$2K
91912049511$2K
101265438956$1K
111912046590$1K
121891958930$945
131821098401$874
141053609420$790
151225189806$766
161578979647$730
171902903511$625
181942833397$621
191174623292$591
201891796314$580

Showing top 20 of 61 providers billing this code