D4210
HCPCS Procedure Code
HCPCS code D4210 is the #2,837 most-billed Medicaid procedure code, with $3.4M in payments across 14K claims from 2018–2024. The national median cost per claim is $287.83. Costs vary widely — the 90th percentile is $601.63 per claim, 2.1× the median.
Total Paid
$3.4M
0.00% of all spending
Total Claims
14K
Providers
19
Avg Cost/Claim
$251
National Cost Distribution
How much do providers bill per claim for D4210? Based on 18 providers billing this code nationally.
Median
$287.83
Average
$276.76
Std Dev
$200.65
Max
$677.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $91.90 and $341.57 per claim for this code.
90% bill between $66.19 and $601.63.
Top 1% bill above $673.83.
About This Procedure
HCPCS code D4210 was billed by 19 providers across 14K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$287.83
Providers Billing
18
National Spending
$3.4M
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D4210
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1629341540 | $1.9M |
| 2 | 1124664537 | $234K |
| 3 | 1508932237 | $212K |
| 4 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $209K |
| 5 | 1649543554 | $208K |
| 6 | 1588724116 | $160K |
| 7 | 1689605826 | $153K |
| 8 | 1295173334 | $107K |
| 9 | 1720144496 | $72K |
| 10 | 1275044612 | $44K |
| 11 | 1396204335 | $25K |
| 12 | 1003364555 | $21K |
| 13 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $19K |
| 14 | 1619155157 | $15K |
| 15 | 1164462487 | $7K |
| 16 | 1528197076 | $5K |
| 17 | 1306104252 | $3K |
| 18 | 1699221481 | $2K |
| 19 | Lynn Community Health, Inc. Lynn, MA · Clinic/Center, Community Health | $0 |
Showing top 19 of 19 providers billing this code