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#5502 of 11K

S9345

HCPCS Procedure Code

HCPCS code S9345 is the #5,502 most-billed Medicaid procedure code, with $186K in payments across 2,984 claims from 2018–2024. The national median cost per claim is $41.98. Costs vary widely — the 90th percentile is $487.31 per claim, 11.6× the median.

Total Paid

$186K

0.00% of all spending

Total Claims

2,984

Providers

6

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for S9345? Based on 5 providers billing this code nationally.

Median

$41.98

Average

$183.86

Std Dev

$329.16

Max

$771.86

Percentile Distribution (Cost per Claim)

p10
$20.37
p25
$33.09
Median
$41.98
p75
$60.50
p90
$487.31
p95
$629.58
p99
$743.40

50% of providers bill between $33.09 and $60.50 per claim for this code.

90% bill between $20.37 and $487.31.

Top 1% bill above $743.40.

About This Procedure

HCPCS code S9345 was billed by 6 providers across 2,984 claims, totaling $186K in Medicaid payments from 2018–2024. This code was used for 1,239 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.98

Providers Billing

5

National Spending

$186K

Avg/Median Ratio

4.38×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S9345

#ProviderTotal Paid
11629116645$93K
21902182637$60K
31376631457$27K
41568428621$5K
51275065260$2K
61699853713$0

Showing top 6 of 6 providers billing this code