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#5981 of 11K

D8696

HCPCS Procedure Code

HCPCS code D8696 is the #5,981 most-billed Medicaid procedure code, with $110K in payments across 4K claims from 2018–2024. The national median cost per claim is $43.62.

Total Paid

$110K

0.00% of all spending

Total Claims

4K

Providers

12

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for D8696? Based on 12 providers billing this code nationally.

Median

$43.62

Average

$40.05

Std Dev

$15.19

Max

$66.62

Percentile Distribution (Cost per Claim)

p10
$21.49
p25
$28.67
Median
$43.62
p75
$50.06
p90
$52.68
p95
$59.01
p99
$65.10

50% of providers bill between $28.67 and $50.06 per claim for this code.

90% bill between $21.49 and $52.68.

Top 1% bill above $65.10.

About This Procedure

HCPCS code D8696 was billed by 12 providers across 4K claims, totaling $110K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.62

Providers Billing

12

National Spending

$110K

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8696

#ProviderTotal Paid
11285981662$35K
21780893909$23K
31134282981$13K
41598854739$12K
51114156320$7K
61164983227$6K
71174613921$6K
81740538214$3K
91316277601$2K
101316051469$950
111407146111$933
121275625154$733

Showing top 12 of 12 providers billing this code