D0391
HCPCS Procedure Code
HCPCS code D0391 is the #5,768 most-billed Medicaid procedure code, with $142K in payments across 72K claims from 2018–2024. The national median cost per claim is $84.19.
Total Paid
$142K
0.00% of all spending
Total Claims
72K
Providers
17
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for D0391? Based on 9 providers billing this code nationally.
Median
$84.19
Average
$97.36
Std Dev
$65.42
Max
$243.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $79.00 and $84.37 per claim for this code.
90% bill between $63.04 and $162.32.
Top 1% bill above $235.46.
About This Procedure
HCPCS code D0391 was billed by 17 providers across 72K claims, totaling $142K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$84.19
Providers Billing
9
National Spending
$142K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0391
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1306998497 | $120K |
| 2 | 1730476185 | $10K |
| 3 | 1578862983 | $4K |
| 4 | 1568473858 | $4K |
| 5 | 1568870202 | $2K |
| 6 | 1235546151 | $1K |
| 7 | 1093472268 | $1K |
| 8 | 1972109957 | $1K |
| 9 | 1518983121 | $76 |
| 10 | 1154436855 | $0 |
| 11 | 1528345188 | $0 |
| 12 | South County Community Health Center Inc East Palo Alto, CA · Clinic/Center Primary Care | $0 |
| 13 | 1972970671 | $0 |
| 14 | 1992976997 | $0 |
| 15 | 1053414862 | $0 |
| 16 | 1629343140 | $0 |
| 17 | 1447812813 | $0 |
Showing top 17 of 17 providers billing this code