S0612
HCPCS Procedure Code
HCPCS code S0612 is the #3,572 most-billed Medicaid procedure code, with $1.5M in payments across 36K claims from 2018–2024. The national median cost per claim is $37.12. Costs vary widely — the 90th percentile is $99.08 per claim, 2.7× the median.
Total Paid
$1.5M
0.00% of all spending
Total Claims
36K
Providers
98
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for S0612? Based on 72 providers billing this code nationally.
Median
$37.12
Average
$50.14
Std Dev
$53.41
Max
$373.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.47 and $63.76 per claim for this code.
90% bill between $2.11 and $99.08.
Top 1% bill above $250.27.
About This Procedure
HCPCS code S0612 was billed by 98 providers across 36K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.12
Providers Billing
72
National Spending
$1.5M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S0612
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730133992 | $253K |
| 2 | 1376528729 | $212K |
| 3 | 1548291891 | $173K |
| 4 | 1467534636 | $140K |
| 5 | 1689661928 | $81K |
| 6 | 1336533041 | $76K |
| 7 | 1861525925 | $73K |
| 8 | 1700058575 | $62K |
| 9 | 1639493919 | $48K |
| 10 | 1306943048 | $46K |
| 11 | 1407981160 | $30K |
| 12 | 1285290593 | $29K |
| 13 | 1982833356 | $26K |
| 14 | 1457493397 | $17K |
| 15 | 1598196495 | $13K |
| 16 | 1083716088 | $13K |
| 17 | Lasante Health Center Inc Brooklyn, NY · Clinic/Center, Community Health | $12K |
| 18 | 1982649638 | $12K |
| 19 | 1982086773 | $12K |
| 20 | 1285809509 | $10K |
Showing top 20 of 98 providers billing this code