S0166
HCPCS Procedure Code
HCPCS code S0166 is the #6,640 most-billed Medicaid procedure code, with $50K in payments across 853 claims from 2018–2024. The national median cost per claim is $34.54. Costs vary widely — the 90th percentile is $99.07 per claim, 2.9× the median.
Total Paid
$50K
0.00% of all spending
Total Claims
853
Providers
6
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for S0166? Based on 5 providers billing this code nationally.
Median
$34.54
Average
$47.68
Std Dev
$50.79
Max
$132.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.27 and $48.38 per claim for this code.
90% bill between $9.11 and $99.07.
Top 1% bill above $129.49.
About This Procedure
HCPCS code S0166 was billed by 6 providers across 853 claims, totaling $50K in Medicaid payments from 2018–2024. This code was used for 678 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.54
Providers Billing
5
National Spending
$50K
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S0166
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972535052 | $47K |
| 2 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $3K |
| 3 | 1568416311 | $553 |
| 4 | 1356444814 | $512 |
| 5 | 1437197985 | $130 |
| 6 | 1902865355 | $0 |
Showing top 6 of 6 providers billing this code