#2954 of 11K

D1352

HCPCS Procedure Code

HCPCS code D1352 is the #2,954 most-billed Medicaid procedure code, with $2.9M in payments across 89K claims from 2018–2024. The national median cost per claim is $33.43. Costs vary widely — the 90th percentile is $69.65 per claim, 2.1× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

89K

Providers

171

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for D1352? Based on 152 providers billing this code nationally.

Median

$33.43

Average

$35.22

Std Dev

$21.23

Max

$99.32

Percentile Distribution (Cost per Claim)

p10

$6.29

p25

$21.68

Median

$33.43

p75

$45.45

p90

$69.65

p95

$73.00

p99

$75.35

50% of providers bill between $21.68 and $45.45 per claim for this code.

90% bill between $6.29 and $69.65.

Top 1% bill above $75.35.

About This Procedure

HCPCS code D1352 was billed by 171 providers across 89K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.43

Providers Billing

152

National Spending

$2.9M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1352

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1881859239	$367K	$64.64	1.9× median	Above 75th
2	1821614876	$260K	$63.63	1.9× median	Above 75th
3	1487794798	$209K	$35.60	1.1× median	Above Median
4	1336592252	$203K	$69.36	2.1× median	Above 75th
5	1275921058	$129K	$29.19	0.9× median	Below Median
6	1457092926	$127K	$70.30	2.1× median	Top 10%
7	1043662778	$118K	$28.39	0.8× median	Below Median
8	1669804084	$113K	$34.78	1.0× median	Above Median
9	1922526813	$87K	$59.15	1.8× median	Above 75th
10	1164634069	$84K	$33.59	1.0× median	Above Median
11	1194775908	$75K	$69.68	2.1× median	Top 10%
12	1205986221	$64K	$24.54	0.7× median	Below Median
13	1306353628	$49K	$25.80	0.8× median	Below Median
14	1063803054	$47K	$33.71	1.0× median	Above Median
15	1124257324	$46K	$4.74	0.1× median	Below Median
16	1033214283	$45K	$26.84	0.8× median	Below Median
17	1972744548	$39K	$36.11	1.1× median	Above Median
18	1023517539	$39K	$32.74	1.0× median	Below Median
19	1174141741	$39K	$32.02	1.0× median	Below Median
20	Utah Navajo Health System, Incorporated Montezuma Creek, UT · Family Medicine	$37K	$46.86	1.4× median	Above 75th

Showing top 20 of 171 providers billing this code

Related Procedures

D1351Sealant, per tooth$1.60B D1354$128.8M D1355$10.1M D1353$7.0M

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