S0197
HCPCS Procedure Code
HCPCS code S0197 is the #5,910 most-billed Medicaid procedure code, with $120K in payments across 53K claims from 2018–2024. The national median cost per claim is $1.50.
Total Paid
$120K
0.00% of all spending
Total Claims
53K
Providers
62
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for S0197? Based on 42 providers billing this code nationally.
Median
$1.50
Average
$2.28
Std Dev
$3.58
Max
$21.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.26 and $1.56 per claim for this code.
90% bill between $0.78 and $1.79.
Top 1% bill above $16.65.
About This Procedure
HCPCS code S0197 was billed by 62 providers across 53K claims, totaling $120K in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.50
Providers Billing
42
National Spending
$120K
Avg/Median Ratio
1.52×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S0197
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1386636165 | $22K |
| 2 | Contra Costa County Martinez, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $16K |
| 3 | Contra Costa County Pittsburg, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $14K |
| 4 | Contra Costa County San Pablo, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $7K |
| 5 | 1609913441 | $6K |
| 6 | 1033256573 | $5K |
| 7 | 1639129372 | $5K |
| 8 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $4K |
| 9 | 1285937631 | $4K |
| 10 | 1184674830 | $4K |
| 11 | 1235189978 | $4K |
| 12 | 1750325098 | $4K |
| 13 | 1043241821 | $3K |
| 14 | 1578599809 | $3K |
| 15 | 1043354111 | $2K |
| 16 | 1548210297 | $2K |
| 17 | 1265766166 | $2K |
| 18 | 1265668784 | $2K |
| 19 | 1992873947 | $1K |
| 20 | 1962597807 | $1K |
Showing top 20 of 62 providers billing this code