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#4911 of 11K

S9970

HCPCS Procedure Code

HCPCS code S9970 is the #4,911 most-billed Medicaid procedure code, with $357K in payments across 5K claims from 2018–2024. The national median cost per claim is $74.98.

Total Paid

$357K

0.00% of all spending

Total Claims

5K

Providers

3

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for S9970? Based on 3 providers billing this code nationally.

Median

$74.98

Average

$87.12

Std Dev

$60.54

Max

$152.81

Percentile Distribution (Cost per Claim)

p10
$41.86
p25
$54.28
Median
$74.98
p75
$113.90
p90
$137.25
p95
$145.03
p99
$151.26

50% of providers bill between $54.28 and $113.90 per claim for this code.

90% bill between $41.86 and $137.25.

Top 1% bill above $151.26.

About This Procedure

HCPCS code S9970 was billed by 3 providers across 5K claims, totaling $357K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.98

Providers Billing

3

National Spending

$357K

Avg/Median Ratio

1.16×

Normal distribution

Provider Coverage

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