#2669 of 11K

D0170

HCPCS Procedure Code

HCPCS code D0170 is the #2,669 most-billed Medicaid procedure code, with $4.2M in payments across 165K claims from 2018–2024. The national median cost per claim is $24.39.

Total Paid

$4.2M

0.00% of all spending

Total Claims

165K

Providers

461

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for D0170? Based on 397 providers billing this code nationally.

Median

$24.39

Average

$25.03

Std Dev

$18.43

Max

$173.93

Percentile Distribution (Cost per Claim)

p10

$6.36

p25

$12.90

Median

$24.39

p75

$33.23

p90

$40.30

p95

$53.92

p99

$88.05

50% of providers bill between $12.90 and $33.23 per claim for this code.

90% bill between $6.36 and $40.30.

Top 1% bill above $88.05.

About This Procedure

HCPCS code D0170 was billed by 461 providers across 165K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 152K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.39

Providers Billing

397

National Spending

$4.2M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0170

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1063971745	$182K	$58.01	2.4× median	Top 10%
2	1942447628	$174K	$39.61	1.6× median	Above 75th
3	1376573790	$163K	$26.39	1.1× median	Above Median
4	1821168113	$160K	$71.61	2.9× median	Top 10%
5	1104248293	$146K	$39.94	1.6× median	Above 75th
6	1942589908	$137K	$38.39	1.6× median	Above 75th
7	1104970698	$136K	$38.47	1.6× median	Above 75th
8	1265632715	$115K	$53.91	2.2× median	Top 10%
9	1316148018	$93K	$38.56	1.6× median	Above 75th
10	1184018616	$92K	$36.54	1.5× median	Above 75th
11	1124106687	$92K	$39.28	1.6× median	Above 75th
12	1053435594	$87K	$34.50	1.4× median	Above 75th
13	1124257324	$85K	$11.52	0.5× median	Below Median
14	1073730107	$83K	$28.03	1.1× median	Above Median
15	1548484645	$76K	$31.20	1.3× median	Above Median
16	1154675940	$73K	$38.16	1.6× median	Above 75th
17	1649617861	$73K	$36.16	1.5× median	Above 75th
18	1104992809	$62K	$36.14	1.5× median	Above 75th
19	1578882510	$57K	$29.80	1.2× median	Above Median
20	1326175100	$56K	$24.26	1.0× median	Below Median

Showing top 20 of 461 providers billing this code

Related Procedures

D0160$29.0M D0180$5.1M D0171$33K

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