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#587 of 11K

S0621

HCPCS Procedure Code

HCPCS code S0621 is the #587 most-billed Medicaid procedure code, with $137.9M in payments across 2.7M claims from 2018–2024. The national median cost per claim is $44.45.

Total Paid

$137.9M

0.01% of all spending

Total Claims

2.7M

Providers

3,601

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for S0621? Based on 3,354 providers billing this code nationally.

Median

$44.45

Average

$47.23

Std Dev

$18.51

Max

$459.34

Percentile Distribution (Cost per Claim)

p10
$29.88
p25
$38.30
Median
$44.45
p75
$54.70
p90
$73.61
p95
$78.87
p99
$85.30

50% of providers bill between $38.30 and $54.70 per claim for this code.

90% bill between $29.88 and $73.61.

Top 1% bill above $85.30.

About This Procedure

HCPCS code S0621 was billed by 3,601 providers across 2.7M claims, totaling $137.9M in Medicaid payments from 2018–2024. This code was used for 2.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.45

Providers Billing

3,354

National Spending

$137.9M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0621

#ProviderTotal Paid
11194879023$5.9M
21720033343$4.7M
31295799823$1.6M
41124080080$1.2M
51598700114$1.1M
61043287469$1.0M
71356529960$1.0M
81326157215$999K
91538147061$976K
101235192113$874K
111639114291$828K
121417945775$764K
131043691595$762K
141245211333$744K
151457905937$733K
161063513794$697K
171710926662$638K
181457432577$626K
191811024961$621K
201922063304$597K

Showing top 20 of 3,601 providers billing this code