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#3100 of 11K

D8690

HCPCS Procedure Code

HCPCS code D8690 is the #3,100 most-billed Medicaid procedure code, with $2.5M in payments across 21K claims from 2018–2024. The national median cost per claim is $123.76.

Total Paid

$2.5M

0.00% of all spending

Total Claims

21K

Providers

88

Avg Cost/Claim

$118

National Cost Distribution

How much do providers bill per claim for D8690? Based on 87 providers billing this code nationally.

Median

$123.76

Average

$116.39

Std Dev

$21.90

Max

$136.00

Percentile Distribution (Cost per Claim)

p10
$97.33
p25
$112.38
Median
$123.76
p75
$128.99
p90
$131.59
p95
$135.03
p99
$136.00

50% of providers bill between $112.38 and $128.99 per claim for this code.

90% bill between $97.33 and $131.59.

Top 1% bill above $136.00.

About This Procedure

HCPCS code D8690 was billed by 88 providers across 21K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$123.76

Providers Billing

87

National Spending

$2.5M

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8690

#ProviderTotal Paid
11922303668$181K
21013027473$179K
31649543554$155K
41881829299$143K
51538246616$130K
61366454134$97K
71598852048$97K
81730312869$89K
91902947138$83K
101811084387$81K
111770746372$64K
121578984662$63K
131154529071$60K
141669960027$60K
151508145566$58K
161447694807$56K
171508267303$53K
181164869723$47K
191780188508$46K
201821438144$44K

Showing top 20 of 88 providers billing this code