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#9025 of 11K

S0630

HCPCS Procedure Code

HCPCS code S0630 is the #9,025 most-billed Medicaid procedure code, with $539 in payments across 430 claims from 2018–2024. The national median cost per claim is $1.04. Costs vary widely — the 90th percentile is $30.98 per claim, 29.8× the median.

Total Paid

$539

0.00% of all spending

Total Claims

430

Providers

6

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for S0630? Based on 3 providers billing this code nationally.

Median

$1.04

Average

$13.28

Std Dev

$21.81

Max

$38.46

Percentile Distribution (Cost per Claim)

p10
$0.49
p25
$0.70
Median
$1.04
p75
$19.75
p90
$30.98
p95
$34.72
p99
$37.71

50% of providers bill between $0.70 and $19.75 per claim for this code.

90% bill between $0.49 and $30.98.

Top 1% bill above $37.71.

About This Procedure

HCPCS code S0630 was billed by 6 providers across 430 claims, totaling $539 in Medicaid payments from 2018–2024. This code was used for 425 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.04

Providers Billing

3

National Spending

$539

Avg/Median Ratio

12.77×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S0630

#ProviderTotal Paid
11326381039$500
21962692152$26
31881977304$14
41629201264$0
51811278716$0
61982932463$0

Showing top 6 of 6 providers billing this code

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