D0364
HCPCS Procedure Code
HCPCS code D0364 is the #3,088 most-billed Medicaid procedure code, with $2.5M in payments across 35K claims from 2018–2024. The national median cost per claim is $124.97. Costs vary widely — the 90th percentile is $250.00 per claim, 2.0× the median.
Total Paid
$2.5M
0.00% of all spending
Total Claims
35K
Providers
93
Avg Cost/Claim
$73
National Cost Distribution
How much do providers bill per claim for D0364? Based on 53 providers billing this code nationally.
Median
$124.97
Average
$148.07
Std Dev
$163.93
Max
$1,099.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $47.47 and $200.00 per claim for this code.
90% bill between $5.23 and $250.00.
Top 1% bill above $725.89.
About This Procedure
HCPCS code D0364 was billed by 93 providers across 35K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$124.97
Providers Billing
53
National Spending
$2.5M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0364
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649754482 | $530K |
| 2 | 1942735519 | $400K |
| 3 | 1275031486 | $167K |
| 4 | 1346571791 | $153K |
| 5 | 1609956234 | $93K |
| 6 | 1609920313 | $86K |
| 7 | 1578012027 | $78K |
| 8 | 1619973070 | $77K |
| 9 | 1700999729 | $74K |
| 10 | 1962673871 | $71K |
| 11 | 1962577395 | $64K |
| 12 | 1932586856 | $55K |
| 13 | 1235573486 | $54K |
| 14 | 1144431768 | $48K |
| 15 | 1710215843 | $47K |
| 16 | 1801359237 | $45K |
| 17 | 1932304029 | $40K |
| 18 | 1194832675 | $40K |
| 19 | 1508967704 | $38K |
| 20 | 1144834375 | $38K |
Showing top 20 of 93 providers billing this code