Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7674 of 11K

D8681

HCPCS Procedure Code

HCPCS code D8681 is the #7,674 most-billed Medicaid procedure code, with $12K in payments across 557 claims from 2018–2024. The national median cost per claim is $23.15.

Total Paid

$12K

0.00% of all spending

Total Claims

557

Providers

5

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for D8681? Based on 4 providers billing this code nationally.

Median

$23.15

Average

$22.88

Std Dev

$0.67

Max

$23.34

Percentile Distribution (Cost per Claim)

p10
$22.26
p25
$22.80
Median
$23.15
p75
$23.24
p90
$23.30
p95
$23.32
p99
$23.34

50% of providers bill between $22.80 and $23.24 per claim for this code.

90% bill between $22.26 and $23.30.

Top 1% bill above $23.34.

About This Procedure

HCPCS code D8681 was billed by 5 providers across 557 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 551 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.15

Providers Billing

4

National Spending

$12K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8681

#ProviderTotal Paid
11871374140$4K
21992707897$4K
31871064709$3K
41154097004$635
51750609574$0

Showing top 5 of 5 providers billing this code