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#5337 of 11K

S4989

HCPCS Procedure Code

HCPCS code S4989 is the #5,337 most-billed Medicaid procedure code, with $225K in payments across 414 claims from 2018–2024. The national median cost per claim is $231.12. Costs vary widely — the 90th percentile is $508.12 per claim, 2.2× the median.

Total Paid

$225K

0.00% of all spending

Total Claims

414

Providers

3

Avg Cost/Claim

$545

National Cost Distribution

How much do providers bill per claim for S4989? Based on 3 providers billing this code nationally.

Median

$231.12

Average

$345.10

Std Dev

$201.17

Max

$577.37

Percentile Distribution (Cost per Claim)

p10
$227.66
p25
$228.96
Median
$231.12
p75
$404.25
p90
$508.12
p95
$542.75
p99
$570.45

50% of providers bill between $228.96 and $404.25 per claim for this code.

90% bill between $227.66 and $508.12.

Top 1% bill above $570.45.

About This Procedure

HCPCS code S4989 was billed by 3 providers across 414 claims, totaling $225K in Medicaid payments from 2018–2024. This code was used for 401 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$231.12

Providers Billing

3

National Spending

$225K

Avg/Median Ratio

1.49×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.