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#1216 of 11K

S0580

HCPCS Procedure Code

HCPCS code S0580 is the #1,216 most-billed Medicaid procedure code, with $33.1M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $17.72.

Total Paid

$33.1M

0.00% of all spending

Total Claims

2.0M

Providers

816

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for S0580? Based on 787 providers billing this code nationally.

Median

$17.72

Average

$18.69

Std Dev

$9.70

Max

$68.20

Percentile Distribution (Cost per Claim)

p10
$8.29
p25
$9.87
Median
$17.72
p75
$27.00
p90
$28.73
p95
$30.00
p99
$47.13

50% of providers bill between $9.87 and $27.00 per claim for this code.

90% bill between $8.29 and $28.73.

Top 1% bill above $47.13.

About This Procedure

HCPCS code S0580 was billed by 816 providers across 2.0M claims, totaling $33.1M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.72

Providers Billing

787

National Spending

$33.1M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0580

#ProviderTotal Paid
1Massachusetts Correctional Industries

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

$7.2M
21376576777$1.6M
3Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$1.5M
41417156589$1.4M
51548256647$875K
61376767442$574K
71467614347$526K
81780896332$371K
91295939155$360K
101477681765$354K
111730368275$317K
121518012178$307K
131750403051$279K
141225500663$252K
151679629679$249K
161942331483$240K
171821296096$233K
181922434398$226K
191386741809$223K
201023118841$223K

Showing top 20 of 816 providers billing this code

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