S9494
HCPCS Procedure Code
HCPCS code S9494 is the #1,720 most-billed Medicaid procedure code, with $15.5M in payments across 129K claims from 2018–2024. The national median cost per claim is $169.66. Costs vary widely — the 90th percentile is $391.79 per claim, 2.3× the median.
Total Paid
$15.5M
0.00% of all spending
Total Claims
129K
Providers
47
Avg Cost/Claim
$120
National Cost Distribution
How much do providers bill per claim for S9494? Based on 44 providers billing this code nationally.
Median
$169.66
Average
$207.69
Std Dev
$192.88
Max
$959.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $85.29 and $262.49 per claim for this code.
90% bill between $29.56 and $391.79.
Top 1% bill above $852.63.
About This Procedure
HCPCS code S9494 was billed by 47 providers across 129K claims, totaling $15.5M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$169.66
Providers Billing
44
National Spending
$15.5M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S9494
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881915031 | $1.8M |
| 2 | 1508890450 | $1.3M |
| 3 | 1104982644 | $1.2M |
| 4 | 1750517108 | $1.1M |
| 5 | Best Option Healthcare Puerto Rico Llc San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy | $1.0M |
| 6 | 1659825982 | $798K |
| 7 | 1457872632 | $685K |
| 8 | 1770888455 | $670K |
| 9 | 1538450242 | $574K |
| 10 | 1942234448 | $559K |
| 11 | 1841830197 | $554K |
| 12 | 1710231733 | $511K |
| 13 | 1306851928 | $495K |
| 14 | 1114361276 | $465K |
| 15 | 1275812935 | $407K |
| 16 | 1962041368 | $341K |
| 17 | 1063519288 | $305K |
| 18 | 1922074749 | $282K |
| 19 | 1114192358 | $274K |
| 20 | 1265418891 | $240K |
Showing top 20 of 47 providers billing this code