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#4085 of 11K

D0366

HCPCS Procedure Code

HCPCS code D0366 is the #4,085 most-billed Medicaid procedure code, with $863K in payments across 5,499 claims from 2018–2024. The national median cost per claim is $170.52.

Total Paid

$863K

0.00% of all spending

Total Claims

5,499

Providers

17

Avg Cost/Claim

$157

National Cost Distribution

How much do providers bill per claim for D0366? Based on 14 providers billing this code nationally.

Median

$170.52

Average

$212.17

Std Dev

$192.61

Max

$767.19

Percentile Distribution (Cost per Claim)

p10
$25.78
p25
$91.99
Median
$170.52
p75
$274.53
p90
$338.23
p95
$504.87
p99
$714.73

50% of providers bill between $91.99 and $274.53 per claim for this code.

90% bill between $25.78 and $338.23.

Top 1% bill above $714.73.

About This Procedure

HCPCS code D0366 was billed by 17 providers across 5,499 claims, totaling $863K in Medicaid payments from 2018–2024. This code was used for 5,235 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$170.52

Providers Billing

14

National Spending

$863K

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0366

#ProviderTotal Paid
11760550552$726K
21255616561$32K
31427336544$24K
41952028490$22K
51598741043$21K
61881278513$14K
71427237551$9K
81104228329$4K
91699347187$3K
101457930398$2K
111609956234$2K
121164948642$2K
131003278375$960
141447657879$310
151407161714$0
161639270846$0
171700236023$0

Showing top 17 of 17 providers billing this code