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#1810 of 11K

S8121

HCPCS Procedure Code

HCPCS code S8121 is the #1,810 most-billed Medicaid procedure code, with $13.5M in payments across 229K claims from 2018–2024. The national median cost per claim is $58.89. Costs vary widely — the 90th percentile is $207.06 per claim, 3.5× the median.

Total Paid

$13.5M

0.00% of all spending

Total Claims

229K

Providers

5

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for S8121? Based on 5 providers billing this code nationally.

Median

$58.89

Average

$99.74

Std Dev

$106.58

Max

$284.61

Percentile Distribution (Cost per Claim)

p10
$29.43
p25
$46.24
Median
$58.89
p75
$90.74
p90
$207.06
p95
$245.84
p99
$276.86

50% of providers bill between $46.24 and $90.74 per claim for this code.

90% bill between $29.43 and $207.06.

Top 1% bill above $276.86.

About This Procedure

HCPCS code S8121 was billed by 5 providers across 229K claims, totaling $13.5M in Medicaid payments from 2018–2024. This code was used for 70K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$58.89

Providers Billing

5

National Spending

$13.5M

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S8121

#ProviderTotal Paid
11326025669$9.5M
21528009933$2.8M
31689665911$1.2M
41710057500$7K
51861480048$7K

Showing top 5 of 5 providers billing this code

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