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#6166 of 11K

S3601

HCPCS Procedure Code

HCPCS code S3601 is the #6,166 most-billed Medicaid procedure code, with $89K in payments across 17K claims from 2018–2024. The national median cost per claim is $3.84. Costs vary widely — the 90th percentile is $69.20 per claim, 18.0× the median.

Total Paid

$89K

0.00% of all spending

Total Claims

17K

Providers

3

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for S3601? Based on 3 providers billing this code nationally.

Median

$3.84

Average

$30.05

Std Dev

$48.07

Max

$85.54

Percentile Distribution (Cost per Claim)

p10
$1.40
p25
$2.31
Median
$3.84
p75
$44.69
p90
$69.20
p95
$77.37
p99
$83.90

50% of providers bill between $2.31 and $44.69 per claim for this code.

90% bill between $1.40 and $69.20.

Top 1% bill above $83.90.

About This Procedure

HCPCS code S3601 was billed by 3 providers across 17K claims, totaling $89K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.84

Providers Billing

3

National Spending

$89K

Avg/Median Ratio

7.83×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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