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#5446 of 11K

S9562

HCPCS Procedure Code

HCPCS code S9562 is the #5,446 most-billed Medicaid procedure code, with $197K in payments across 6K claims from 2018–2024. The national median cost per claim is $17.09. Costs vary widely — the 90th percentile is $51.02 per claim, 3.0× the median.

Total Paid

$197K

0.00% of all spending

Total Claims

6K

Providers

10

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for S9562? Based on 9 providers billing this code nationally.

Median

$17.09

Average

$23.76

Std Dev

$17.15

Max

$56.25

Percentile Distribution (Cost per Claim)

p10
$12.01
p25
$13.17
Median
$17.09
p75
$22.70
p90
$51.02
p95
$53.64
p99
$55.73

50% of providers bill between $13.17 and $22.70 per claim for this code.

90% bill between $12.01 and $51.02.

Top 1% bill above $55.73.

About This Procedure

HCPCS code S9562 was billed by 10 providers across 6K claims, totaling $197K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.09

Providers Billing

9

National Spending

$197K

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9562

#ProviderTotal Paid
11194824060$97K
21508890450$37K
31235209081$23K
41457381782$18K
51366435976$14K
61417955170$4K
71609314343$2K
81841332764$1K
91265418891$914
101700115086$0

Showing top 10 of 10 providers billing this code

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