D0251
HCPCS Procedure Code
HCPCS code D0251 is the #4,528 most-billed Medicaid procedure code, with $532K in payments across 47K claims from 2018–2024. The national median cost per claim is $13.20. Costs vary widely — the 90th percentile is $47.19 per claim, 3.6× the median.
Total Paid
$532K
0.00% of all spending
Total Claims
47K
Providers
77
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for D0251? Based on 61 providers billing this code nationally.
Median
$13.20
Average
$19.88
Std Dev
$16.63
Max
$62.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.25 and $25.99 per claim for this code.
90% bill between $1.60 and $47.19.
Top 1% bill above $62.16.
About This Procedure
HCPCS code D0251 was billed by 77 providers across 47K claims, totaling $532K in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.20
Providers Billing
61
National Spending
$532K
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for D0251
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649719675 | $147K |
| 2 | 1497002687 | $63K |
| 3 | 1861728784 | $37K |
| 4 | 1043339476 | $33K |
| 5 | 1447729108 | $32K |
| 6 | 1952744005 | $32K |
| 7 | 1942429931 | $25K |
| 8 | 1033799093 | $17K |
| 9 | 1538214168 | $15K |
| 10 | 1205024965 | $12K |
| 11 | 1770521270 | $11K |
| 12 | 1841308392 | $11K |
| 13 | 1578122461 | $11K |
| 14 | 1427495969 | $10K |
| 15 | 1245717420 | $8K |
| 16 | 1780948224 | $7K |
| 17 | 1215560370 | $5K |
| 18 | 1396209771 | $4K |
| 19 | 1811221302 | $4K |
| 20 | 1861497885 | $3K |
Showing top 20 of 77 providers billing this code