D0260
HCPCS Procedure Code
HCPCS code D0260 is the #7,618 most-billed Medicaid procedure code, with $13K in payments across 3K claims from 2018–2024. The national median cost per claim is $5.00.
Total Paid
$13K
0.00% of all spending
Total Claims
3K
Providers
11
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for D0260? Based on 9 providers billing this code nationally.
Median
$5.00
Average
$5.26
Std Dev
$0.59
Max
$6.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.00 and $5.27 per claim for this code.
90% bill between $4.91 and $5.76.
Top 1% bill above $6.65.
About This Procedure
HCPCS code D0260 was billed by 11 providers across 3K claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.00
Providers Billing
9
National Spending
$13K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0260
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588736755 | $8K |
| 2 | 1801238910 | $3K |
| 3 | 1356658702 | $1K |
| 4 | 1194904151 | $405 |
| 5 | 1639308679 | $335 |
| 6 | 1851611784 | $215 |
| 7 | 1083068878 | $181 |
| 8 | 1215403555 | $125 |
| 9 | 1376639567 | $65 |
| 10 | 1265568620 | $0 |
| 11 | 1790370997 | $0 |
Showing top 11 of 11 providers billing this code