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#5768 of 11K

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)

p10
$63.04
p25
$79.00
Median
$84.19
p75
$84.37
p90
$162.32
p95
$202.95
p99
$235.46

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

#ProviderTotal Paid
11306998497$120K
21730476185$10K
31578862983$4K
41568473858$4K
51568870202$2K
61235546151$1K
71093472268$1K
81972109957$1K
91518983121$76
101154436855$0
111528345188$0
12South County Community Health Center Inc

East Palo Alto, CA · Clinic/Center Primary Care

$0
131972970671$0
141992976997$0
151053414862$0
161629343140$0
171447812813$0

Showing top 17 of 17 providers billing this code