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#3818 of 11K

S9452

HCPCS Procedure Code

HCPCS code S9452 is the #3,818 most-billed Medicaid procedure code, with $1.1M in payments across 480K claims from 2018–2024. The national median cost per claim is $6.85. Costs vary widely — the 90th percentile is $16.82 per claim, 2.5× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

480K

Providers

371

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for S9452? Based on 211 providers billing this code nationally.

Median

$6.85

Average

$8.09

Std Dev

$11.53

Max

$104.49

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.40
Median
$6.85
p75
$11.40
p90
$16.82
p95
$23.31
p99
$58.05

50% of providers bill between $0.40 and $11.40 per claim for this code.

90% bill between $0.01 and $16.82.

Top 1% bill above $58.05.

About This Procedure

HCPCS code S9452 was billed by 371 providers across 480K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 431K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.85

Providers Billing

211

National Spending

$1.1M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9452

#ProviderTotal Paid
11831697267$421K
21861580706$57K
31225103369$52K
41942438577$52K
51699726786$35K
61578633533$29K
71245234673$28K
81184607269$27K
91487787248$26K
101730136680$23K
111891971131$20K
121467411744$19K
131558311142$17K
141013077874$16K
151154503399$15K
161740592377$15K
171841285830$15K
181245540277$14K
191710087515$14K
201104856095$13K

Showing top 20 of 371 providers billing this code