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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851650550 | $1K |
| 2 | 1801965371 | $849 |
| 3 | 1104087451 | $119 |
| 4 | 1487045530 | $89 |
| 5 | 1942645247 | $23 |
| 6 | 1487648234 | $15 |
| 7 | 1023287679 | $0 |
| 8 | Dap Health, Inc. El Cajon, CA · Family Medicine | $0 |
| 9 | 1861857732 | $0 |
| 10 | 1568747137 | $0 |
| 11 | 1104991686 | $0 |
| 12 | 1023349883 | $0 |
| 13 | 1235179532 | $0 |
| 14 | 1467487637 | $0 |
| 15 | 1134144165 | $0 |
| 16 | 1417907502 | $0 |
| 17 | 1417969411 | $0 |
| 18 | 1811195043 | $0 |
| 19 | 1932315827 | $0 |
| 20 | 1619036514 | $0 |
Showing top 20 of 24 providers billing this code