S4990
HCPCS Procedure Code
HCPCS code S4990 is the #7,999 most-billed Medicaid procedure code, with $7K in payments across 2K claims from 2018–2024. The national median cost per claim is $27.38.
Total Paid
$7K
0.00% of all spending
Total Claims
2K
Providers
4
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for S4990? Based on 2 providers billing this code nationally.
Median
$27.38
Average
$27.38
Std Dev
$38.72
Max
$54.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.69 and $41.07 per claim for this code.
90% bill between $5.48 and $49.28.
Top 1% bill above $54.21.
About This Procedure
HCPCS code S4990 was billed by 4 providers across 2K claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 825 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.38
Providers Billing
2
National Spending
$7K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.