D0460
HCPCS Procedure Code
HCPCS code D0460 is the #2,895 most-billed Medicaid procedure code, with $3.1M in payments across 198K claims from 2018–2024. The national median cost per claim is $23.99.
Total Paid
$3.1M
0.00% of all spending
Total Claims
198K
Providers
372
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for D0460? Based on 290 providers billing this code nationally.
Median
$23.99
Average
$19.41
Std Dev
$14.67
Max
$116.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.88 and $27.22 per claim for this code.
90% bill between $1.76 and $28.20.
Top 1% bill above $80.61.
About This Procedure
HCPCS code D0460 was billed by 372 providers across 198K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 171K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.99
Providers Billing
290
National Spending
$3.1M
Avg/Median Ratio
0.81×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0460
| # | Provider | Total Paid |
|---|---|---|
| 1 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $212K |
| 2 | 1649754482 | $168K |
| 3 | 1891944476 | $153K |
| 4 | 1609848878 | $98K |
| 5 | 1891022505 | $93K |
| 6 | 1265617625 | $92K |
| 7 | 1295071231 | $90K |
| 8 | 1306998497 | $85K |
| 9 | 1750801494 | $79K |
| 10 | 1366683120 | $66K |
| 11 | 1710413760 | $65K |
| 12 | 1588870869 | $61K |
| 13 | 1144398629 | $57K |
| 14 | 1700322799 | $56K |
| 15 | 1063803823 | $56K |
| 16 | 1114582509 | $55K |
| 17 | 1770590580 | $50K |
| 18 | 1659002160 | $49K |
| 19 | 1598747297 | $46K |
| 20 | 1285235846 | $43K |
Showing top 20 of 372 providers billing this code