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#8565 of 11K

S0613

HCPCS Procedure Code

HCPCS code S0613 is the #8,565 most-billed Medicaid procedure code, with $2K in payments across 8,756 claims from 2018–2024. The national median cost per claim is $0.36. Costs vary widely — the 90th percentile is $1.95 per claim, 5.4× the median.

Total Paid

$2K

0.00% of all spending

Total Claims

8,756

Providers

24

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for S0613? Based on 6 providers billing this code nationally.

Median

$0.36

Average

$0.81

Std Dev

$0.92

Max

$2.32

Percentile Distribution (Cost per Claim)

p10
$0.13
p25
$0.18
Median
$0.36
p75
$1.30
p90
$1.95
p95
$2.14
p99
$2.28

50% of providers bill between $0.18 and $1.30 per claim for this code.

90% bill between $0.13 and $1.95.

Top 1% bill above $2.28.

About This Procedure

HCPCS code S0613 was billed by 24 providers across 8,756 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 8,554 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.36

Providers Billing

6

National Spending

$2K

Avg/Median Ratio

2.25×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S0613

#ProviderTotal Paid
11851650550$1K
21801965371$849
31104087451$119
41487045530$89
51942645247$23
61487648234$15
71023287679$0
8Dap Health, Inc.

El Cajon, CA · Family Medicine

$0
91861857732$0
101568747137$0
111104991686$0
121023349883$0
131235179532$0
141467487637$0
151134144165$0
161417907502$0
171417969411$0
181811195043$0
191932315827$0
201619036514$0

Showing top 20 of 24 providers billing this code