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#2286 of 11K

D5212

HCPCS Procedure Code

HCPCS code D5212 is the #2,286 most-billed Medicaid procedure code, with $7.1M in payments across 21K claims from 2018–2024. The national median cost per claim is $402.44.

Total Paid

$7.1M

0.00% of all spending

Total Claims

21K

Providers

149

Avg Cost/Claim

$338

National Cost Distribution

How much do providers bill per claim for D5212? Based on 135 providers billing this code nationally.

Median

$402.44

Average

$420.44

Std Dev

$193.58

Max

$1,098.46

Percentile Distribution (Cost per Claim)

p10
$191.22
p25
$268.39
Median
$402.44
p75
$552.53
p90
$628.21
p95
$749.08
p99
$897.61

50% of providers bill between $268.39 and $552.53 per claim for this code.

90% bill between $191.22 and $628.21.

Top 1% bill above $897.61.

About This Procedure

HCPCS code D5212 was billed by 149 providers across 21K claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$402.44

Providers Billing

135

National Spending

$7.1M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5212

#ProviderTotal Paid
11205053899$919K
21114324951$559K
31003988122$508K
41740271022$386K
51659476356$318K
61275234999$288K
71629549829$225K
81992006449$203K
91619205721$183K
10Brockton Neighborhood Health Center

Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC)

$174K
111477580827$154K
12Lynn Community Health, Inc.

Lynn, MA · Clinic/Center, Community Health

$147K
131336641109$135K
141295156636$131K
151619688751$131K
161316475304$116K
171265415251$113K
18My Community Dental Centers Inc

Petoskey, MI · Dentist, Dental Public Health

$92K
191225013899$92K
201912430778$91K

Showing top 20 of 149 providers billing this code