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#6324 of 11K

D5227

HCPCS Procedure Code

HCPCS code D5227 is the #6,324 most-billed Medicaid procedure code, with $74K in payments across 29 claims from 2018–2024. The national median cost per claim is $2,562.13.

Total Paid

$74K

0.00% of all spending

Total Claims

29

Providers

1

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for D5227? Based on 1 providers billing this code nationally.

Median

$2,562.13

Average

$2,562.13

Std Dev

Max

$2,562.13

Percentile Distribution (Cost per Claim)

p10
$2,562.13
p25
$2,562.13
Median
$2,562.13
p75
$2,562.13
p90
$2,562.13
p95
$2,562.13
p99
$2,562.13

50% of providers bill between $2,562.13 and $2,562.13 per claim for this code.

90% bill between $2,562.13 and $2,562.13.

Top 1% bill above $2,562.13.

About This Procedure

HCPCS code D5227 was billed by 1 providers across 29 claims, totaling $74K in Medicaid payments from 2018–2024. This code was used for 29 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,562.13

Providers Billing

1

National Spending

$74K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.