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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760441141 | $12K |
| 2 | 1497074173 | $5K |
| 3 | 1124202619 | $5K |
| 4 | 1568975316 | $2K |
| 5 | 1174994826 | $1K |
| 6 | 1255437166 | $899 |
| 7 | 1265417174 | $788 |
| 8 | 1306160262 | $776 |
| 9 | 1932216389 | $352 |
| 10 | 1922420983 | $0 |
| 11 | 1285710442 | $0 |
Showing top 11 of 11 providers billing this code