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#7460 of 11K

D0381

HCPCS Procedure Code

HCPCS code D0381 is the #7,460 most-billed Medicaid procedure code, with $17K in payments across 132 claims from 2018–2024. The national median cost per claim is $144.56.

Total Paid

$17K

0.00% of all spending

Total Claims

132

Providers

3

Avg Cost/Claim

$131

National Cost Distribution

How much do providers bill per claim for D0381? Based on 3 providers billing this code nationally.

Median

$144.56

Average

$139.01

Std Dev

$12.19

Max

$147.45

Percentile Distribution (Cost per Claim)

p10
$128.94
p25
$134.80
Median
$144.56
p75
$146.00
p90
$146.87
p95
$147.16
p99
$147.39

50% of providers bill between $134.80 and $146.00 per claim for this code.

90% bill between $128.94 and $146.87.

Top 1% bill above $147.39.

About This Procedure

HCPCS code D0381 was billed by 3 providers across 132 claims, totaling $17K in Medicaid payments from 2018–2024. This code was used for 126 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$144.56

Providers Billing

3

National Spending

$17K

Avg/Median Ratio

0.96×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.