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#4568 of 11K

D0277

HCPCS Procedure Code

HCPCS code D0277 is the #4,568 most-billed Medicaid procedure code, with $510K in payments across 13K claims from 2018–2024. The national median cost per claim is $31.18. Costs vary widely — the 90th percentile is $70.40 per claim, 2.3× the median.

Total Paid

$510K

0.00% of all spending

Total Claims

13K

Providers

35

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for D0277? Based on 27 providers billing this code nationally.

Median

$31.18

Average

$39.36

Std Dev

$25.96

Max

$96.21

Percentile Distribution (Cost per Claim)

p10
$7.95
p25
$23.61
Median
$31.18
p75
$64.06
p90
$70.40
p95
$78.98
p99
$92.68

50% of providers bill between $23.61 and $64.06 per claim for this code.

90% bill between $7.95 and $70.40.

Top 1% bill above $92.68.

About This Procedure

HCPCS code D0277 was billed by 35 providers across 13K claims, totaling $510K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.18

Providers Billing

27

National Spending

$510K

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0277

#ProviderTotal Paid
11316956410$114K
21861497885$109K
31023223732$83K
41528275658$73K
51336606300$50K
61639767015$14K
71083073050$12K
81932484649$12K
91366778680$8K
101558469189$6K
111447501358$4K
121477632289$3K
131992329148$3K
141295940518$3K
151518028091$3K
161427279850$2K
171447364377$2K
181245304195$2K
191770590119$1K
201629031372$1K

Showing top 20 of 35 providers billing this code