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#4492 of 11K

D0380

HCPCS Procedure Code

HCPCS code D0380 is the #4,492 most-billed Medicaid procedure code, with $552K in payments across 4,406 claims from 2018–2024. The national median cost per claim is $142.16.

Total Paid

$552K

0.00% of all spending

Total Claims

4,406

Providers

20

Avg Cost/Claim

$125

National Cost Distribution

How much do providers bill per claim for D0380? Based on 12 providers billing this code nationally.

Median

$142.16

Average

$151.18

Std Dev

$43.97

Max

$287.32

Percentile Distribution (Cost per Claim)

p10
$139.74
p25
$140.47
Median
$142.16
p75
$143.28
p90
$143.28
p95
$208.10
p99
$271.48

50% of providers bill between $140.47 and $143.28 per claim for this code.

90% bill between $139.74 and $143.28.

Top 1% bill above $271.48.

About This Procedure

HCPCS code D0380 was billed by 20 providers across 4,406 claims, totaling $552K in Medicaid payments from 2018–2024. This code was used for 4,175 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$142.16

Providers Billing

12

National Spending

$552K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0380

#ProviderTotal Paid
11841308087$445K
21144608282$55K
31124793476$22K
41104244516$7K
51699181735$7K
61184934903$4K
71154047025$3K
81538765680$3K
91417630500$2K
101891929113$2K
111174870547$2K
121750928271$2K
131972676971$0
141720097637$0
151558659516$0
161710441050$0
171477725331$0
181326398025$0
191578649638$0
201750815882$0

Showing top 20 of 20 providers billing this code