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#1348 of 11K

D0190

HCPCS Procedure Code

HCPCS code D0190 is the #1,348 most-billed Medicaid procedure code, with $26.2M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $12.78.

Total Paid

$26.2M

0.00% of all spending

Total Claims

1.6M

Providers

1K

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for D0190? Based on 841 providers billing this code nationally.

Median

$12.78

Average

$16.07

Std Dev

$34.10

Max

$739.34

Percentile Distribution (Cost per Claim)

p10
$2.63
p25
$8.52
Median
$12.78
p75
$16.64
p90
$23.33
p95
$32.46
p99
$80.81

50% of providers bill between $8.52 and $16.64 per claim for this code.

90% bill between $2.63 and $23.33.

Top 1% bill above $80.81.

About This Procedure

HCPCS code D0190 was billed by 1K providers across 1.6M claims, totaling $26.2M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.78

Providers Billing

841

National Spending

$26.2M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0190

#ProviderTotal Paid
11124353248$2.0M
21255853685$1.1M
31093159105$712K
41124672779$693K
5Smile New York Outreach Llc

Long Island City, NY · Clinic/Center Dental

$633K
61760436190$603K
7Alamo Navajo School Board, Inc.

Alamo, NM · Clinic/Center, Primary Care

$599K
81326090390$573K
91225100092$564K
101073529301$501K
111124309968$497K
121508027848$448K
131730295296$425K
141821412016$382K
151417377813$367K
161609037944$359K
17Sun River Health Inc.

Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC)

$329K
181104901685$303K
191518051812$286K
201730244740$272K

Showing top 20 of 1K providers billing this code

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