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#4030 of 11K

D0365

HCPCS Procedure Code

HCPCS code D0365 is the #4,030 most-billed Medicaid procedure code, with $915K in payments across 6,604 claims from 2018–2024. The national median cost per claim is $149.46.

Total Paid

$915K

0.00% of all spending

Total Claims

6,604

Providers

14

Avg Cost/Claim

$139

National Cost Distribution

How much do providers bill per claim for D0365? Based on 12 providers billing this code nationally.

Median

$149.46

Average

$202.40

Std Dev

$202.03

Max

$761.87

Percentile Distribution (Cost per Claim)

p10
$25.59
p25
$73.57
Median
$149.46
p75
$266.22
p90
$278.97
p95
$496.28
p99
$708.75

50% of providers bill between $73.57 and $266.22 per claim for this code.

90% bill between $25.59 and $278.97.

Top 1% bill above $708.75.

About This Procedure

HCPCS code D0365 was billed by 14 providers across 6,604 claims, totaling $915K in Medicaid payments from 2018–2024. This code was used for 6,339 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$149.46

Providers Billing

12

National Spending

$915K

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0365

#ProviderTotal Paid
11760550552$734K
21255616561$64K
31598741043$26K
41427336544$24K
51881278513$21K
61952028490$20K
71821225038$8K
81457930398$8K
91477183101$6K
101003278375$2K
111407275183$2K
121144431768$814
131114584968$0
141134730914$0

Showing top 14 of 14 providers billing this code