S5498
HCPCS Procedure Code
HCPCS code S5498 is the #4,442 most-billed Medicaid procedure code, with $588K in payments across 23K claims from 2018–2024. The national median cost per claim is $28.30. Costs vary widely — the 90th percentile is $102.07 per claim, 3.6× the median.
Total Paid
$588K
0.00% of all spending
Total Claims
23K
Providers
14
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for S5498? Based on 14 providers billing this code nationally.
Median
$28.30
Average
$48.59
Std Dev
$46.69
Max
$164.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.56 and $77.17 per claim for this code.
90% bill between $10.62 and $102.07.
Top 1% bill above $157.44.
About This Procedure
HCPCS code S5498 was billed by 14 providers across 23K claims, totaling $588K in Medicaid payments from 2018–2024. This code was used for 7,145 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.30
Providers Billing
14
National Spending
$588K
Avg/Median Ratio
1.72×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S5498
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326096629 | $169K |
| 2 | 1235209081 | $142K |
| 3 | 1427132265 | $116K |
| 4 | 1760425011 | $77K |
| 5 | 1831241033 | $58K |
| 6 | 1508890450 | $8K |
| 7 | 1619478047 | $7K |
| 8 | 1013919240 | $3K |
| 9 | 1346210549 | $2K |
| 10 | 1568474716 | $2K |
| 11 | 1033166244 | $1K |
| 12 | Optum Infusion Services 308 Llc Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy | $1K |
| 13 | 1457658486 | $1K |
| 14 | 1033531538 | $773 |
Showing top 14 of 14 providers billing this code