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#3853 of 11K

S3005

HCPCS Procedure Code

HCPCS code S3005 is the #3,853 most-billed Medicaid procedure code, with $1.1M in payments across 94K claims from 2018–2024. The national median cost per claim is $9.84. Costs vary widely — the 90th percentile is $28.40 per claim, 2.9× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

94K

Providers

92

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for S3005? Based on 65 providers billing this code nationally.

Median

$9.84

Average

$15.62

Std Dev

$21.84

Max

$119.25

Percentile Distribution (Cost per Claim)

p10
$0.12
p25
$8.30
Median
$9.84
p75
$14.10
p90
$28.40
p95
$59.45
p99
$108.72

50% of providers bill between $8.30 and $14.10 per claim for this code.

90% bill between $0.12 and $28.40.

Top 1% bill above $108.72.

About This Procedure

HCPCS code S3005 was billed by 92 providers across 94K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.84

Providers Billing

65

National Spending

$1.1M

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S3005

#ProviderTotal Paid
11477569838$325K
2North Range Behavioral Health

Greeley, CO · Clinic/Center Mental Health (Including Community Mental Health Center)

$157K
31871671826$86K
4Jefferson Center For Mental Health

Wheat Ridge, CO · Clinic/Center Mental Health (Including Community Mental Health Center)

$77K
51336137629$73K
61134149057$61K
71992708176$59K
8Lynn Community Health, Inc.

Lynn, MA · Clinic/Center, Community Health

$38K
91558329433$28K
101619272754$24K
111417945254$23K
121821349317$22K
131316906886$21K
141841200664$10K
151316909732$9K
161801874573$8K
171730566217$7K
181194372151$7K
191063459568$6K
201376158147$5K

Showing top 20 of 92 providers billing this code

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