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#9092 of 11K

S8431

HCPCS Procedure Code

HCPCS code S8431 is the #9,092 most-billed Medicaid procedure code, with $414 in payments across 89 claims from 2018–2024. The national median cost per claim is $7.12.

Total Paid

$414

0.00% of all spending

Total Claims

89

Providers

3

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for S8431? Based on 2 providers billing this code nationally.

Median

$7.12

Average

$7.12

Std Dev

$3.60

Max

$9.67

Percentile Distribution (Cost per Claim)

p10
$5.09
p25
$5.85
Median
$7.12
p75
$8.39
p90
$9.16
p95
$9.41
p99
$9.62

50% of providers bill between $5.85 and $8.39 per claim for this code.

90% bill between $5.09 and $9.16.

Top 1% bill above $9.62.

About This Procedure

HCPCS code S8431 was billed by 3 providers across 89 claims, totaling $414 in Medicaid payments from 2018–2024. This code was used for 88 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.12

Providers Billing

2

National Spending

$414

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.

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