D4212
HCPCS Procedure Code
HCPCS code D4212 is the #2,613 most-billed Medicaid procedure code, with $4.6M in payments across 16K claims from 2018–2024. The national median cost per claim is $236.66.
Total Paid
$4.6M
0.00% of all spending
Total Claims
16K
Providers
25
Avg Cost/Claim
$278
National Cost Distribution
How much do providers bill per claim for D4212? Based on 23 providers billing this code nationally.
Median
$236.66
Average
$208.91
Std Dev
$122.43
Max
$374.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $93.10 and $310.44 per claim for this code.
90% bill between $38.39 and $348.41.
Top 1% bill above $371.08.
About This Procedure
HCPCS code D4212 was billed by 25 providers across 16K claims, totaling $4.6M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$236.66
Providers Billing
23
National Spending
$4.6M
Avg/Median Ratio
0.88×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D4212
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679661565 | $1.5M |
| 2 | 1114298064 | $842K |
| 3 | 1376037853 | $681K |
| 4 | 1699324103 | $364K |
| 5 | 1104995885 | $351K |
| 6 | 1366587073 | $247K |
| 7 | 1790909000 | $155K |
| 8 | 1093091688 | $100K |
| 9 | 1720414311 | $63K |
| 10 | 1366778680 | $54K |
| 11 | 1619038742 | $50K |
| 12 | 1023316155 | $41K |
| 13 | 1437422680 | $37K |
| 14 | 1215309018 | $18K |
| 15 | 1962575894 | $16K |
| 16 | 1639173503 | $14K |
| 17 | 1477041721 | $5K |
| 18 | 1902213135 | $4K |
| 19 | 1114501897 | $3K |
| 20 | 1003159369 | $2K |
Showing top 20 of 25 providers billing this code