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#2538 of 11K

D0180

HCPCS Procedure Code

HCPCS code D0180 is the #2,538 most-billed Medicaid procedure code, with $5.1M in payments across 198K claims from 2018–2024. The national median cost per claim is $35.21.

Total Paid

$5.1M

0.00% of all spending

Total Claims

198K

Providers

539

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for D0180? Based on 421 providers billing this code nationally.

Median

$35.21

Average

$34.30

Std Dev

$19.76

Max

$122.73

Percentile Distribution (Cost per Claim)

p10
$9.95
p25
$22.00
Median
$35.21
p75
$42.62
p90
$51.31
p95
$70.69
p99
$103.36

50% of providers bill between $22.00 and $42.62 per claim for this code.

90% bill between $9.95 and $51.31.

Top 1% bill above $103.36.

About This Procedure

HCPCS code D0180 was billed by 539 providers across 198K claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 165K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.21

Providers Billing

421

National Spending

$5.1M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0180

#ProviderTotal Paid
11811135288$530K
21821193145$364K
31659476356$231K
41184934903$179K
51841200664$137K
61609842152$130K
71235589243$123K
81467718155$119K
91164621793$106K
101720416050$104K
111740271022$101K
121477764496$92K
131063490324$89K
141023562600$76K
151497822209$70K
161780780486$63K
171518359314$59K
181518363118$56K
191801929591$55K
201891944476$53K

Showing top 20 of 539 providers billing this code