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#8051 of 11K

D5228

HCPCS Procedure Code

HCPCS code D5228 is the #8,051 most-billed Medicaid procedure code, with $7K in payments across 16 claims from 2018–2024. The national median cost per claim is $422.43.

Total Paid

$7K

0.00% of all spending

Total Claims

16

Providers

1

Avg Cost/Claim

$422

National Cost Distribution

How much do providers bill per claim for D5228? Based on 1 providers billing this code nationally.

Median

$422.43

Average

$422.43

Std Dev

Max

$422.43

Percentile Distribution (Cost per Claim)

p10
$422.43
p25
$422.43
Median
$422.43
p75
$422.43
p90
$422.43
p95
$422.43
p99
$422.43

50% of providers bill between $422.43 and $422.43 per claim for this code.

90% bill between $422.43 and $422.43.

Top 1% bill above $422.43.

About This Procedure

HCPCS code D5228 was billed by 1 providers across 16 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 16 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$422.43

Providers Billing

1

National Spending

$7K

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.