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#6158 of 11K

D0411

HCPCS Procedure Code

HCPCS code D0411 is the #6,158 most-billed Medicaid procedure code, with $89K in payments across 2,362 claims from 2018–2024. The national median cost per claim is $24.83.

Total Paid

$89K

0.00% of all spending

Total Claims

2,362

Providers

4

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for D0411? Based on 2 providers billing this code nationally.

Median

$24.83

Average

$24.83

Std Dev

$24.83

Max

$42.39

Percentile Distribution (Cost per Claim)

p10
$10.78
p25
$16.05
Median
$24.83
p75
$33.61
p90
$38.88
p95
$40.64
p99
$42.04

50% of providers bill between $16.05 and $33.61 per claim for this code.

90% bill between $10.78 and $38.88.

Top 1% bill above $42.04.

About This Procedure

HCPCS code D0411 was billed by 4 providers across 2,362 claims, totaling $89K in Medicaid payments from 2018–2024. This code was used for 2,270 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.83

Providers Billing

2

National Spending

$89K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.