#3940 of 11K

D8703

HCPCS Procedure Code

HCPCS code D8703 is the #3,940 most-billed Medicaid procedure code, with $998K in payments across 8K claims from 2018–2024. The national median cost per claim is $133.85.

Total Paid

$998K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$120

National Cost Distribution

How much do providers bill per claim for D8703? Based on 71 providers billing this code nationally.

Median

$133.85

Average

$132.08

Std Dev

$49.12

Max

$286.11

Percentile Distribution (Cost per Claim)

p10

$79.17

p25

$91.83

Median

$133.85

p75

$157.31

p90

$196.00

p95

$200.00

p99

$275.95

50% of providers bill between $91.83 and $157.31 per claim for this code.

90% bill between $79.17 and $196.00.

Top 1% bill above $275.95.

About This Procedure

HCPCS code D8703 was billed by 73 providers across 8K claims, totaling $998K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$133.85

Providers Billing

National Spending

$998K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8703

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1134282981	$102K	$159.22	1.2× median	Above 75th
2	1588838924	$82K	$85.53	0.6× median	Below Median
3	1386815223	$66K	$136.51	1.0× median	Above Median
4	1720116973	$63K	$86.48	0.6× median	Below Median
5	1942292941	$61K	$142.11	1.1× median	Above Median
6	1386835700	$52K	$158.12	1.2× median	Above 75th
7	1770746372	$50K	$79.17	0.6× median	Below Median
8	1780893909	$42K	$120.57	0.9× median	Below Median
9	1649543554	$40K	$67.78	0.5× median	Below Median
10	1124093752	$39K	$260.00	1.9× median	Top 10%
11	1235594268	$37K	$271.60	2.0× median	Top 10%
12	1639376148	$30K	$184.64	1.4× median	Above 75th
13	1114156320	$23K	$120.06	0.9× median	Below Median
14	1487827945	$22K	$117.83	0.9× median	Below Median
15	1013027473	$21K	$71.12	0.5× median	Below Median
16	1881792901	$21K	$156.51	1.2× median	Above Median
17	1629538988	$17K	$286.11	2.1× median	Top 1%
18	1881829299	$15K	$86.24	0.6× median	Below Median
19	1053637769	$12K	$145.76	1.1× median	Above Median
20	1366516155	$12K	$137.04	1.0× median	Above Median

Showing top 20 of 73 providers billing this code

Related Procedures

D8704$830K D8696$110K D8697$105K D8693$54K D8695$20K

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