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#124 of 11K

S0215

Non-invasive prenatal screening, fetal chromosomal abnormalities

Non-invasive prenatal screening, fetal chromosomal abnormalities is the #124 most-billed Medicaid procedure code, with $1.54B in payments across 57.8M claims from 2018–2024. The national median cost per claim is $21.33. Costs vary widely — the 90th percentile is $83.18 per claim, 3.9× the median.

Total Paid

$1.54B

0.14% of all spending

Total Claims

57.8M

Providers

2K

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for S0215? Based on 2K providers billing this code nationally.

Median

$21.33

Average

$38.37

Std Dev

$59.39

Max

$1,033.42

Percentile Distribution (Cost per Claim)

p10
$4.81
p25
$9.27
Median
$21.33
p75
$44.71
p90
$83.18
p95
$139.53
p99
$240.02

50% of providers bill between $9.27 and $44.71 per claim for this code.

90% bill between $4.81 and $83.18.

Top 1% bill above $240.02.

About This Procedure

HCPCS code S0215 (Non-invasive prenatal screening, fetal chromosomal abnormalities) was billed by 2K providers across 57.8M claims, totaling $1.54B in Medicaid payments from 2018–2024. This code was used for 11.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.33

Providers Billing

2K

National Spending

$1.54B

Avg/Median Ratio

1.80×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S0215

#ProviderTotal Paid
1Veyo, Llc

Lake St Louis, MO · Secured Medical Transport (VAN)

$289.3M
21669915047$44.8M
3Not Found

Unknown, Unknown · Unknown

$40.0M
41225243876$34.3M
51700064276$34.0M
6Coordinated Transportation Solutions, Inc.

Trumbull, CT · Transportation Broker

$33.9M
7Medical Transportation Management Inc.

Lake St Louis, MO · Transportation Broker

$33.0M
81821432022$31.2M
91306996848$23.9M
101386062172$23.3M
111053663229$22.4M
121780110403$21.9M
13Modivcare Solutions, Llc

Denver, CO · Transportation Broker

$21.5M
141558592253$20.9M
151063844165$19.1M
161417297037$18.7M
171588009732$18.2M
18Centrek Transportation Llc

Bronx, NY · Non-emergency Medical Transport (VAN)

$17.1M
191518191881$14.1M
201215251715$13.8M

Showing top 20 of 2K providers billing this code