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#1720 of 11K

S9494

HCPCS Procedure Code

HCPCS code S9494 is the #1,720 most-billed Medicaid procedure code, with $15.5M in payments across 129K claims from 2018–2024. The national median cost per claim is $169.66. Costs vary widely — the 90th percentile is $391.79 per claim, 2.3× the median.

Total Paid

$15.5M

0.00% of all spending

Total Claims

129K

Providers

47

Avg Cost/Claim

$120

National Cost Distribution

How much do providers bill per claim for S9494? Based on 44 providers billing this code nationally.

Median

$169.66

Average

$207.69

Std Dev

$192.88

Max

$959.36

Percentile Distribution (Cost per Claim)

p10
$29.56
p25
$85.29
Median
$169.66
p75
$262.49
p90
$391.79
p95
$581.82
p99
$852.63

50% of providers bill between $85.29 and $262.49 per claim for this code.

90% bill between $29.56 and $391.79.

Top 1% bill above $852.63.

About This Procedure

HCPCS code S9494 was billed by 47 providers across 129K claims, totaling $15.5M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$169.66

Providers Billing

44

National Spending

$15.5M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9494

#ProviderTotal Paid
11881915031$1.8M
21508890450$1.3M
31104982644$1.2M
41750517108$1.1M
5Best Option Healthcare Puerto Rico Llc

San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy

$1.0M
61659825982$798K
71457872632$685K
81770888455$670K
91538450242$574K
101942234448$559K
111841830197$554K
121710231733$511K
131306851928$495K
141114361276$465K
151275812935$407K
161962041368$341K
171063519288$305K
181922074749$282K
191114192358$274K
201265418891$240K

Showing top 20 of 47 providers billing this code