Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2039 of 11K

D0270

HCPCS Procedure Code

HCPCS code D0270 is the #2,039 most-billed Medicaid procedure code, with $9.8M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $5.46. Costs vary widely — the 90th percentile is $13.18 per claim, 2.4× the median.

Total Paid

$9.8M

0.00% of all spending

Total Claims

1.6M

Providers

3K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for D0270? Based on 3K providers billing this code nationally.

Median

$5.46

Average

$7.22

Std Dev

$7.38

Max

$246.77

Percentile Distribution (Cost per Claim)

p10
$2.32
p25
$4.61
Median
$5.46
p75
$9.28
p90
$13.18
p95
$15.85
p99
$22.36

50% of providers bill between $4.61 and $9.28 per claim for this code.

90% bill between $2.32 and $13.18.

Top 1% bill above $22.36.

About This Procedure

HCPCS code D0270 was billed by 3K providers across 1.6M claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.46

Providers Billing

3K

National Spending

$9.8M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0270

#ProviderTotal Paid
11063480218$341K
21720177066$313K
31881730844$254K
41467635243$222K
51164553137$160K
6Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$134K
7Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$132K
81720202187$120K
91649339581$104K
101982963724$90K
111518945278$78K
121235580317$69K
131518334705$67K
141841638624$65K
151184186496$63K
161770948689$62K
171124576517$59K
181386062768$59K
191437360344$56K
201013219633$55K

Showing top 20 of 3K providers billing this code