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#3157 of 11K

S9061

HCPCS Procedure Code

HCPCS code S9061 is the #3,157 most-billed Medicaid procedure code, with $2.3M in payments across 8,647 claims from 2018–2024. The national median cost per claim is $0.96. Costs vary widely — the 90th percentile is $236.46 per claim, 246.3× the median.

Total Paid

$2.3M

0.00% of all spending

Total Claims

8,647

Providers

4

Avg Cost/Claim

$272

National Cost Distribution

How much do providers bill per claim for S9061? Based on 3 providers billing this code nationally.

Median

$0.96

Average

$98.96

Std Dev

$170.07

Max

$295.34

Percentile Distribution (Cost per Claim)

p10
$0.66
p25
$0.77
Median
$0.96
p75
$148.15
p90
$236.46
p95
$265.90
p99
$289.45

50% of providers bill between $0.77 and $148.15 per claim for this code.

90% bill between $0.66 and $236.46.

Top 1% bill above $289.45.

About This Procedure

HCPCS code S9061 was billed by 4 providers across 8,647 claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 3,063 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.96

Providers Billing

3

National Spending

$2.3M

Avg/Median Ratio

103.08×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.