S0516
HCPCS Procedure Code
HCPCS code S0516 is the #6,011 most-billed Medicaid procedure code, with $106K in payments across 4,892 claims from 2018–2024. The national median cost per claim is $15.98.
Total Paid
$106K
0.00% of all spending
Total Claims
4,892
Providers
56
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for S0516? Based on 52 providers billing this code nationally.
Median
$15.98
Average
$18.47
Std Dev
$20.96
Max
$166.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.98 and $15.98 per claim for this code.
90% bill between $15.75 and $15.98.
Top 1% bill above $90.10.
About This Procedure
HCPCS code S0516 was billed by 56 providers across 4,892 claims, totaling $106K in Medicaid payments from 2018–2024. This code was used for 4,788 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.98
Providers Billing
52
National Spending
$106K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S0516
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942644661 | $47K |
| 2 | Premier Eye Care Of Florida Llc Coral Gables, FL · Exclusive Provider Organization | $12K |
| 3 | 1467894782 | $5K |
| 4 | 1326031527 | $4K |
| 5 | 1063838274 | $3K |
| 6 | 1912049511 | $3K |
| 7 | 1629029400 | $3K |
| 8 | 1265438956 | $3K |
| 9 | 1912046590 | $2K |
| 10 | 1821098401 | $1K |
| 11 | 1053609420 | $1K |
| 12 | 1578979647 | $1K |
| 13 | 1902903511 | $1K |
| 14 | 1891762514 | $991 |
| 15 | 1174623292 | $991 |
| 16 | 1891796314 | $895 |
| 17 | 1265597066 | $847 |
| 18 | 1407857766 | $799 |
| 19 | 1114604501 | $767 |
| 20 | 1225189806 | $767 |
Showing top 20 of 56 providers billing this code