S4993
HCPCS Procedure Code
HCPCS code S4993 is the #545 most-billed Medicaid procedure code, with $153.2M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $46.61. Costs vary widely — the 90th percentile is $132.06 per claim, 2.8× the median.
Total Paid
$153.2M
0.01% of all spending
Total Claims
1.9M
Providers
677
Avg Cost/Claim
$80
National Cost Distribution
How much do providers bill per claim for S4993? Based on 649 providers billing this code nationally.
Median
$46.61
Average
$63.02
Std Dev
$51.32
Max
$214.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.50 and $102.15 per claim for this code.
90% bill between $8.01 and $132.06.
Top 1% bill above $197.56.
About This Procedure
HCPCS code S4993 was billed by 677 providers across 1.9M claims, totaling $153.2M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.61
Providers Billing
649
National Spending
$153.2M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S4993
| # | Provider | Total Paid |
|---|---|---|
| 1 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $13.8M |
| 2 | Planned Parenthood Of Wisconsin Milwaukee, WI · Clinic/Center Ambulatory Family Planning Facility | $13.2M |
| 3 | 1629057146 | $10.8M |
| 4 | 1053311860 | $6.1M |
| 5 | 1174633143 | $3.4M |
| 6 | 1538152491 | $3.4M |
| 7 | 1730435884 | $3.3M |
| 8 | 1881743631 | $3.1M |
| 9 | 1780859280 | $2.9M |
| 10 | 1083700686 | $2.6M |
| 11 | 1093989667 | $2.6M |
| 12 | 1477708469 | $2.5M |
| 13 | 1336174325 | $1.8M |
| 14 | 1366525370 | $1.6M |
| 15 | 1578738084 | $1.3M |
| 16 | 1346414158 | $1.3M |
| 17 | 1831363464 | $1.1M |
| 18 | 1255462487 | $1.1M |
| 19 | 1134297179 | $1.1M |
| 20 | 1295909836 | $976K |
Showing top 20 of 677 providers billing this code