D0321
HCPCS Procedure Code
HCPCS code D0321 is the #6,224 most-billed Medicaid procedure code, with $82K in payments across 476 claims from 2018–2024. The national median cost per claim is $47.46. Costs vary widely — the 90th percentile is $191.29 per claim, 4.0× the median.
Total Paid
$82K
0.00% of all spending
Total Claims
476
Providers
3
Avg Cost/Claim
$172
National Cost Distribution
How much do providers bill per claim for D0321? Based on 3 providers billing this code nationally.
Median
$47.46
Average
$98.56
Std Dev
$112.23
Max
$227.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.22 and $137.36 per claim for this code.
90% bill between $26.28 and $191.29.
Top 1% bill above $223.66.
About This Procedure
HCPCS code D0321 was billed by 3 providers across 476 claims, totaling $82K in Medicaid payments from 2018–2024. This code was used for 462 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.46
Providers Billing
3
National Spending
$82K
Avg/Median Ratio
2.08×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.