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#7140 of 11K

S0285

HCPCS Procedure Code

HCPCS code S0285 is the #7,140 most-billed Medicaid procedure code, with $27K in payments across 407 claims from 2018–2024. The national median cost per claim is $58.36. Costs vary widely — the 90th percentile is $130.82 per claim, 2.2× the median.

Total Paid

$27K

0.00% of all spending

Total Claims

407

Providers

11

Avg Cost/Claim

$66

National Cost Distribution

How much do providers bill per claim for S0285? Based on 9 providers billing this code nationally.

Median

$58.36

Average

$67.10

Std Dev

$38.90

Max

$131.47

Percentile Distribution (Cost per Claim)

p10
$38.18
p25
$44.31
Median
$58.36
p75
$69.19
p90
$130.82
p95
$131.15
p99
$131.41

50% of providers bill between $44.31 and $69.19 per claim for this code.

90% bill between $38.18 and $130.82.

Top 1% bill above $131.41.

About This Procedure

HCPCS code S0285 was billed by 11 providers across 407 claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 400 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$58.36

Providers Billing

9

National Spending

$27K

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0285

#ProviderTotal Paid
11760441141$12K
21497074173$5K
31124202619$5K
41568975316$2K
51174994826$1K
61255437166$899
71265417174$788
81306160262$776
91932216389$352
101922420983$0
111285710442$0

Showing top 11 of 11 providers billing this code