Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1883 of 11K

D0367

HCPCS Procedure Code

HCPCS code D0367 is the #1,883 most-billed Medicaid procedure code, with $12.2M in payments across 72K claims from 2018–2024. The national median cost per claim is $189.94.

Total Paid

$12.2M

0.00% of all spending

Total Claims

72K

Providers

167

Avg Cost/Claim

$171

National Cost Distribution

How much do providers bill per claim for D0367? Based on 141 providers billing this code nationally.

Median

$189.94

Average

$187.76

Std Dev

$159.55

Max

$1,552.83

Percentile Distribution (Cost per Claim)

p10
$23.13
p25
$97.90
Median
$189.94
p75
$263.76
p90
$279.00
p95
$302.25
p99
$615.09

50% of providers bill between $97.90 and $263.76 per claim for this code.

90% bill between $23.13 and $279.00.

Top 1% bill above $615.09.

About This Procedure

HCPCS code D0367 was billed by 167 providers across 72K claims, totaling $12.2M in Medicaid payments from 2018–2024. This code was used for 67K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$189.94

Providers Billing

141

National Spending

$12.2M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0367

#ProviderTotal Paid
11255620928$1.3M
21689342503$1.1M
31538339072$828K
41669662722$736K
51710652938$593K
61821328394$590K
71013179530$535K
81922587757$425K
91386835700$418K
101386096394$391K
111922499730$372K
121508170713$346K
131346337235$289K
141023474285$203K
151760834956$182K
161821684499$174K
171326499310$160K
181457560450$151K
191346910916$137K
201134164122$137K

Showing top 20 of 167 providers billing this code