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#6303 of 11K

S9453

HCPCS Procedure Code

HCPCS code S9453 is the #6,303 most-billed Medicaid procedure code, with $76K in payments across 4K claims from 2018–2024. The national median cost per claim is $8.88. Costs vary widely — the 90th percentile is $61.22 per claim, 6.9× the median.

Total Paid

$76K

0.00% of all spending

Total Claims

4K

Providers

14

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for S9453? Based on 7 providers billing this code nationally.

Median

$8.88

Average

$23.80

Std Dev

$47.90

Max

$131.65

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.45
Median
$8.88
p75
$12.60
p90
$61.22
p95
$96.44
p99
$124.61

50% of providers bill between $0.45 and $12.60 per claim for this code.

90% bill between $0.02 and $61.22.

Top 1% bill above $124.61.

About This Procedure

HCPCS code S9453 was billed by 14 providers across 4K claims, totaling $76K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.88

Providers Billing

7

National Spending

$76K

Avg/Median Ratio

2.68×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S9453

#ProviderTotal Paid
11215240643$70K
21609862044$4K
31891763876$2K
41841290251$524
51952470411$13
61447252903$5
71033178561$0
81306961636$0
91134184658$0
101467870543$0
111700354495$0
121124678586$0
131386934172$0
141598861767$0

Showing top 14 of 14 providers billing this code