#3735 of 11K

D0273

HCPCS Procedure Code

HCPCS code D0273 is the #3,735 most-billed Medicaid procedure code, with $1.3M in payments across 117K claims from 2018–2024. The national median cost per claim is $17.25.

Total Paid

$1.3M

0.00% of all spending

Total Claims

117K

Providers

152

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for D0273? Based on 141 providers billing this code nationally.

Median

$17.25

Average

$17.45

Std Dev

$10.73

Max

$50.25

Percentile Distribution (Cost per Claim)

p10

$5.35

p25

$8.81

Median

$17.25

p75

$24.05

p90

$30.00

p95

$39.45

p99

$46.55

50% of providers bill between $8.81 and $24.05 per claim for this code.

90% bill between $5.35 and $30.00.

Top 1% bill above $46.55.

About This Procedure

HCPCS code D0273 was billed by 152 providers across 117K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 116K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.25

Providers Billing

141

National Spending

$1.3M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0273

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1972737583	$278K	$8.58	0.5× median	Below Median
2	1629089909	$258K	$6.96	0.4× median	Below Median
3	1780924522	$75K	$10.08	0.6× median	Below Median
4	1285800052	$50K	$37.22	2.2× median	Top 10%
5	1629362215	$45K	$17.55	1.0× median	Above Median
6	My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health	$41K	$20.12	1.2× median	Above Median
7	1699137109	$33K	$22.27	1.3× median	Above Median
8	1003027749	$32K	$22.69	1.3× median	Above Median
9	1629251228	$28K	$17.82	1.0× median	Above Median
10	1447441720	$28K	$20.33	1.2× median	Above Median
11	1801840061	$23K	$16.01	0.9× median	Below Median
12	1134109069	$19K	$21.18	1.2× median	Above Median
13	1780849422	$18K	$11.64	0.7× median	Below Median
14	1770924003	$18K	$30.00	1.7× median	Top 10%
15	1598747297	$18K	$22.49	1.3× median	Above Median
16	1063768687	$16K	$46.20	2.7× median	Top 10%
17	1851612790	$15K	$11.70	0.7× median	Below Median
18	1861987786	$14K	$24.57	1.4× median	Above 75th
19	1528424702	$13K	$20.67	1.2× median	Above Median
20	1083743538	$12K	$10.32	0.6× median	Below Median

Showing top 20 of 152 providers billing this code

Related Procedures

D0274Bitewings, four radiographic images$1.05B D0272Bitewings, two radiographic images$799.2M D0270$9.8M D0277$510K

← All procedures Top providers →