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#1596 of 11K

D0191

HCPCS Procedure Code

HCPCS code D0191 is the #1,596 most-billed Medicaid procedure code, with $18.2M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $11.16.

Total Paid

$18.2M

0.00% of all spending

Total Claims

2.1M

Providers

1K

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for D0191? Based on 787 providers billing this code nationally.

Median

$11.16

Average

$14.39

Std Dev

$30.78

Max

$503.91

Percentile Distribution (Cost per Claim)

p10
$1.10
p25
$6.60
Median
$11.16
p75
$15.11
p90
$21.70
p95
$25.31
p99
$104.69

50% of providers bill between $6.60 and $15.11 per claim for this code.

90% bill between $1.10 and $21.70.

Top 1% bill above $104.69.

About This Procedure

HCPCS code D0191 was billed by 1K providers across 2.1M claims, totaling $18.2M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.16

Providers Billing

787

National Spending

$18.2M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0191

#ProviderTotal Paid
11073580890$752K
21417084708$616K
31477611234$602K
41780105759$522K
51578565347$505K
61578649638$460K
71285800052$418K
81205285699$343K
91326138314$340K
101871088633$320K
111821386780$273K
121932357126$270K
131265573448$250K
141780096792$194K
151619904836$184K
161629078274$179K
171871656082$178K
181124619556$175K
191679841811$174K
201598760795$173K

Showing top 20 of 1K providers billing this code

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