S0581
HCPCS Procedure Code
HCPCS code S0581 is the #2,747 most-billed Medicaid procedure code, with $3.9M in payments across 218K claims from 2018–2024. The national median cost per claim is $14.33. Costs vary widely — the 90th percentile is $39.44 per claim, 2.8× the median.
Total Paid
$3.9M
0.00% of all spending
Total Claims
218K
Providers
37
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for S0581? Based on 11 providers billing this code nationally.
Median
$14.33
Average
$18.65
Std Dev
$15.39
Max
$45.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.37 and $29.99 per claim for this code.
90% bill between $3.84 and $39.44.
Top 1% bill above $44.44.
About This Procedure
HCPCS code S0581 was billed by 37 providers across 218K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 127K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.33
Providers Billing
11
National Spending
$3.9M
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S0581
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417156589 | $3.1M |
| 2 | Massachusetts Correctional Industries Gardner, MA · Eyewear Supplier (Equipment not the service) | $476K |
| 3 | 1376576777 | $282K |
| 4 | 1871684761 | $17K |
| 5 | 1023056934 | $4K |
| 6 | Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist | $3K |
| 7 | 1003853383 | $3K |
| 8 | 1780702571 | $2K |
| 9 | 1518040294 | $1K |
| 10 | 1528435526 | $204 |
| 11 | 1235483900 | $58 |
| 12 | 1730126665 | $0 |
| 13 | 1891738415 | $0 |
| 14 | 1689644858 | $0 |
| 15 | 1841354875 | $0 |
| 16 | 1891074332 | $0 |
| 17 | 1508112186 | $0 |
| 18 | 1275513509 | $0 |
| 19 | 1427148915 | $0 |
| 20 | 1124254016 | $0 |
Showing top 20 of 37 providers billing this code