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#6999 of 11K

D0171

HCPCS Procedure Code

HCPCS code D0171 is the #6,999 most-billed Medicaid procedure code, with $33K in payments across 7K claims from 2018–2024. The national median cost per claim is $14.08. Costs vary widely — the 90th percentile is $50.78 per claim, 3.6× the median.

Total Paid

$33K

0.00% of all spending

Total Claims

7K

Providers

71

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for D0171? Based on 26 providers billing this code nationally.

Median

$14.08

Average

$19.14

Std Dev

$18.97

Max

$70.63

Percentile Distribution (Cost per Claim)

p10
$3.96
p25
$8.29
Median
$14.08
p75
$15.53
p90
$50.78
p95
$64.80
p99
$69.66

50% of providers bill between $8.29 and $15.53 per claim for this code.

90% bill between $3.96 and $50.78.

Top 1% bill above $69.66.

About This Procedure

HCPCS code D0171 was billed by 71 providers across 7K claims, totaling $33K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.08

Providers Billing

26

National Spending

$33K

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0171

#ProviderTotal Paid
11992862197$7K
21386714228$7K
31881273720$6K
41346595444$3K
51649622341$2K
61942483524$1K
71447657879$1K
81164874376$520
91790848547$511
101568473973$420
111003023029$395
121346300860$390
131104176445$310
141407463086$265
151023131810$260
16New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$249
171649488743$249
18New York City Health And Hospitals Corporation

New York, NY · Internal Medicine

$246
191457930398$225
201992842496$215

Showing top 20 of 71 providers billing this code

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