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#3908 of 11K

S5162

HCPCS Procedure Code

HCPCS code S5162 is the #3,908 most-billed Medicaid procedure code, with $1.0M in payments across 10K claims from 2018–2024. The national median cost per claim is $112.17.

Total Paid

$1.0M

0.00% of all spending

Total Claims

10K

Providers

20

Avg Cost/Claim

$100

National Cost Distribution

How much do providers bill per claim for S5162? Based on 16 providers billing this code nationally.

Median

$112.17

Average

$116.91

Std Dev

$78.89

Max

$252.73

Percentile Distribution (Cost per Claim)

p10
$19.00
p25
$52.42
Median
$112.17
p75
$170.34
p90
$218.48
p95
$243.02
p99
$250.79

50% of providers bill between $52.42 and $170.34 per claim for this code.

90% bill between $19.00 and $218.48.

Top 1% bill above $250.79.

About This Procedure

HCPCS code S5162 was billed by 20 providers across 10K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$112.17

Providers Billing

16

National Spending

$1.0M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S5162

#ProviderTotal Paid
11245747187$434K
21053981266$150K
31568492585$133K
41508891946$123K
51831720457$66K
61700856507$62K
71760942635$27K
81447277264$11K
91710308986$7K
10Total Longterm Care Inc.

Aurora, CO · PACE Provider Organization

$6K
111144523556$4K
121740579267$3K
131639770183$3K
141740403146$2K
151023107281$900
161497221618$224
171508982232$0
18042537528$0
191669802708$0
201992135941$0

Showing top 20 of 20 providers billing this code