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#7023 of 11K

D7251

HCPCS Procedure Code

HCPCS code D7251 is the #7,023 most-billed Medicaid procedure code, with $31K in payments across 132 claims from 2018–2024. The national median cost per claim is $135.00. Costs vary widely — the 90th percentile is $278.73 per claim, 2.1× the median.

Total Paid

$31K

0.00% of all spending

Total Claims

132

Providers

3

Avg Cost/Claim

$235

National Cost Distribution

How much do providers bill per claim for D7251? Based on 3 providers billing this code nationally.

Median

$135.00

Average

$174.08

Std Dev

$125.69

Max

$314.66

Percentile Distribution (Cost per Claim)

p10
$85.06
p25
$103.79
Median
$135.00
p75
$224.83
p90
$278.73
p95
$296.70
p99
$311.07

50% of providers bill between $103.79 and $224.83 per claim for this code.

90% bill between $85.06 and $278.73.

Top 1% bill above $311.07.

About This Procedure

HCPCS code D7251 was billed by 3 providers across 132 claims, totaling $31K in Medicaid payments from 2018–2024. This code was used for 77 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$135.00

Providers Billing

3

National Spending

$31K

Avg/Median Ratio

1.29×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.