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)
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.