#2906 of 11K

D8060

HCPCS Procedure Code

HCPCS code D8060 is the #2,906 most-billed Medicaid procedure code, with $3.1M in payments across 8K claims from 2018–2024. The national median cost per claim is $536.09. Costs vary widely — the 90th percentile is $1,180.68 per claim, 2.2× the median.

Total Paid

$3.1M

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$384

National Cost Distribution

How much do providers bill per claim for D8060? Based on 44 providers billing this code nationally.

Median

$536.09

Average

$651.64

Std Dev

$393.33

Max

$1,309.20

Percentile Distribution (Cost per Claim)

p10

$147.32

p25

$288.58

Median

$536.09

p75

$1,052.61

p90

$1,180.68

p95

$1,201.39

p99

$1,287.02

50% of providers bill between $288.58 and $1,052.61 per claim for this code.

90% bill between $147.32 and $1,180.68.

Top 1% bill above $1,287.02.

About This Procedure

HCPCS code D8060 was billed by 48 providers across 8K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$536.09

Providers Billing

National Spending

$3.1M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8060

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1902815244	$512K	$530.78	1.0× median	Below Median
2	1124106687	$344K	$466.88	0.9× median	Below Median
3	1992707897	$336K	$474.18	0.9× median	Below Median
4	1669993812	$306K	$1,065.34	2.0× median	Above 75th
5	1801173489	$200K	$125.59	0.2× median	Below Median
6	1245249598	$141K	$1,309.20	2.4× median	Top 1%
7	1003896697	$116K	$745.16	1.4× median	Above Median
8	1871064709	$102K	$698.30	1.3× median	Above Median
9	1053685586	$98K	$93.51	0.2× median	Below Median
10	1649268814	$92K	$1,131.04	2.1× median	Above 75th
11	1457566739	$65K	$491.48	0.9× median	Below Median
12	1972744548	$64K	$1,159.62	2.2× median	Above 75th
13	1811439912	$63K	$1,191.65	2.2× median	Top 10%
14	1932309648	$59K	$1,016.90	1.9× median	Above Median
15	1336430149	$56K	$240.31	0.4× median	Below Median
16	1487683330	$49K	$1,164.46	2.2× median	Above 75th
17	1659745065	$41K	$498.35	0.9× median	Below Median
18	1215333547	$38K	$198.02	0.4× median	Below Median
19	1417175696	$37K	$276.61	0.5× median	Below Median
20	1497235030	$36K	$499.32	0.9× median	Below Median

Showing top 20 of 48 providers billing this code

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D8070$2.2M D8050$31K

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