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#1301 of 11K

S9343

HCPCS Procedure Code

HCPCS code S9343 is the #1,301 most-billed Medicaid procedure code, with $28.4M in payments across 536K claims from 2018–2024. The national median cost per claim is $99.47. Costs vary widely — the 90th percentile is $349.02 per claim, 3.5× the median.

Total Paid

$28.4M

0.00% of all spending

Total Claims

536K

Providers

110

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for S9343? Based on 106 providers billing this code nationally.

Median

$99.47

Average

$155.66

Std Dev

$158.57

Max

$769.30

Percentile Distribution (Cost per Claim)

p10
$9.35
p25
$26.21
Median
$99.47
p75
$261.72
p90
$349.02
p95
$430.91
p99
$659.07

50% of providers bill between $26.21 and $261.72 per claim for this code.

90% bill between $9.35 and $349.02.

Top 1% bill above $659.07.

About This Procedure

HCPCS code S9343 was billed by 110 providers across 536K claims, totaling $28.4M in Medicaid payments from 2018–2024. This code was used for 97K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$99.47

Providers Billing

106

National Spending

$28.4M

Avg/Median Ratio

1.56×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S9343

#ProviderTotal Paid
11184653388$2.3M
21134175581$2.2M
31275637324$1.8M
41720033715$1.6M
51285600072$1.2M
61083793566$1.2M
71952440604$1.1M
81992741060$1.1M
91174693592$1.0M
10Option Care Enterprises Inc.

Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy

$1.0M
111972894772$824K
121619970845$719K
131568474716$679K
141033166244$669K
151003862020$626K
161114099488$599K
171235329228$532K
181902182637$511K
191457658486$503K
201881727998$456K

Showing top 20 of 110 providers billing this code