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#5936 of 11K

S9981

HCPCS Procedure Code

HCPCS code S9981 is the #5,936 most-billed Medicaid procedure code, with $116K in payments across 11K claims from 2018–2024. The national median cost per claim is $14.70.

Total Paid

$116K

0.00% of all spending

Total Claims

11K

Providers

30

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for S9981? Based on 21 providers billing this code nationally.

Median

$14.70

Average

$13.12

Std Dev

$5.68

Max

$19.30

Percentile Distribution (Cost per Claim)

p10
$5.87
p25
$7.38
Median
$14.70
p75
$18.22
p90
$19.01
p95
$19.03
p99
$19.25

50% of providers bill between $7.38 and $18.22 per claim for this code.

90% bill between $5.87 and $19.01.

Top 1% bill above $19.25.

About This Procedure

HCPCS code S9981 was billed by 30 providers across 11K claims, totaling $116K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.70

Providers Billing

21

National Spending

$116K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9981

#ProviderTotal Paid
11235334079$55K
21831112358$31K
35552349512$6K
41972668853$5K
55552138415$4K
61639682883$3K
71033268008$3K
8Behavioral Health Resources

Olympia, WA · Community/Behavioral Health

$2K
9Valley Behavioral Health Incorporated

Salt Lake City, UT · Psychiatry & Neurology Psychiatry

$1K
10Compass Health

Everett, WA · Community/Behavioral Health

$1K
115552145738$640
12Wasatch Behavioral Health Special Service District

Provo, UT · Community/Behavioral Health

$640
131558366492$618
141235124462$582
151437518610$540
161689892473$340
171164586210$260
181467408013$251
191275579906$219
201619068624$80

Showing top 20 of 30 providers billing this code