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#5590 of 11K

D4211

HCPCS Procedure Code

HCPCS code D4211 is the #5,590 most-billed Medicaid procedure code, with $171K in payments across 2K claims from 2018–2024. The national median cost per claim is $75.71.

Total Paid

$171K

0.00% of all spending

Total Claims

2K

Providers

14

Avg Cost/Claim

$73

National Cost Distribution

How much do providers bill per claim for D4211? Based on 9 providers billing this code nationally.

Median

$75.71

Average

$76.87

Std Dev

$56.57

Max

$200.00

Percentile Distribution (Cost per Claim)

p10
$15.15
p25
$53.42
Median
$75.71
p75
$97.14
p90
$119.51
p95
$159.76
p99
$191.95

50% of providers bill between $53.42 and $97.14 per claim for this code.

90% bill between $15.15 and $119.51.

Top 1% bill above $191.95.

About This Procedure

HCPCS code D4211 was billed by 14 providers across 2K claims, totaling $171K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$75.71

Providers Billing

9

National Spending

$171K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D4211

#ProviderTotal Paid
11265588412$97K
21629276498$19K
31669645461$16K
41285704437$15K
51508543232$12K
61881997591$6K
71952703480$5K
81730265729$398
91356648075$133
101568030161$0
111316497134$0
121598970162$0
131104592245$0
141598008880$0

Showing top 14 of 14 providers billing this code