S0257
HCPCS Procedure Code
HCPCS code S0257 is the #3,637 most-billed Medicaid procedure code, with $1.4M in payments across 73K claims from 2018–2024. The national median cost per claim is $0.30. Costs vary widely — the 90th percentile is $83.36 per claim, 277.9× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
73K
Providers
150
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for S0257? Based on 37 providers billing this code nationally.
Median
$0.30
Average
$14.25
Std Dev
$31.52
Max
$97.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.02 and $1.55 per claim for this code.
90% bill between $0.00 and $83.36.
Top 1% bill above $97.63.
About This Procedure
HCPCS code S0257 was billed by 150 providers across 73K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 59K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.30
Providers Billing
37
National Spending
$1.4M
Avg/Median Ratio
47.50×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S0257
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265095582 | $628K |
| 2 | 1063958155 | $363K |
| 3 | 1750946646 | $349K |
| 4 | 1568573442 | $24K |
| 5 | 1861833386 | $23K |
| 6 | 1902099708 | $3K |
| 7 | 1073779658 | $2K |
| 8 | 1033389606 | $571 |
| 9 | 1598953721 | $551 |
| 10 | 1487045530 | $530 |
| 11 | 1033165345 | $435 |
| 12 | 1689009854 | $320 |
| 13 | 1821243759 | $315 |
| 14 | 1942307681 | $240 |
| 15 | 1972528032 | $128 |
| 16 | 1912097734 | $124 |
| 17 | 1861719122 | $121 |
| 18 | 1154733632 | $100 |
| 19 | 1083931919 | $92 |
| 20 | 1366082166 | $90 |
Showing top 20 of 150 providers billing this code