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#1533 of 11K

S9374

HCPCS Procedure Code

HCPCS code S9374 is the #1,533 most-billed Medicaid procedure code, with $20.0M in payments across 168K claims from 2018–2024. The national median cost per claim is $136.10.

Total Paid

$20.0M

0.00% of all spending

Total Claims

168K

Providers

74

Avg Cost/Claim

$119

National Cost Distribution

How much do providers bill per claim for S9374? Based on 74 providers billing this code nationally.

Median

$136.10

Average

$145.77

Std Dev

$89.15

Max

$533.32

Percentile Distribution (Cost per Claim)

p10
$45.20
p25
$88.01
Median
$136.10
p75
$191.55
p90
$231.25
p95
$326.32
p99
$401.01

50% of providers bill between $88.01 and $191.55 per claim for this code.

90% bill between $45.20 and $231.25.

Top 1% bill above $401.01.

About This Procedure

HCPCS code S9374 was billed by 74 providers across 168K claims, totaling $20.0M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$136.10

Providers Billing

74

National Spending

$20.0M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9374

#ProviderTotal Paid
11851309595$1.3M
2Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$1.2M
31972841872$1.1M
41255336517$1.1M
51992788350$994K
61508890450$969K
71619478047$961K
81831241033$930K
91902182637$911K
101033166244$878K
111417904574$762K
121952440604$706K
131326096629$691K
141881727998$559K
151417472812$527K
161679531693$422K
171184653388$383K
181114099488$382K
191992777510$380K
201538147202$365K

Showing top 20 of 74 providers billing this code