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#6526 of 11K

D0412

HCPCS Procedure Code

HCPCS code D0412 is the #6,526 most-billed Medicaid procedure code, with $58K in payments across 3,775 claims from 2018–2024. The national median cost per claim is $19.08.

Total Paid

$58K

0.00% of all spending

Total Claims

3,775

Providers

10

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for D0412? Based on 7 providers billing this code nationally.

Median

$19.08

Average

$15.66

Std Dev

$6.41

Max

$19.67

Percentile Distribution (Cost per Claim)

p10
$8.24
p25
$14.97
Median
$19.08
p75
$19.27
p90
$19.54
p95
$19.61
p99
$19.66

50% of providers bill between $14.97 and $19.27 per claim for this code.

90% bill between $8.24 and $19.54.

Top 1% bill above $19.66.

About This Procedure

HCPCS code D0412 was billed by 10 providers across 3,775 claims, totaling $58K in Medicaid payments from 2018–2024. This code was used for 3,645 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.08

Providers Billing

7

National Spending

$58K

Avg/Median Ratio

0.82×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0412

#ProviderTotal Paid
11265101356$27K
21407330046$12K
31326467986$11K
41861180374$4K
51598174930$3K
61942868690$2K
71528453883$39
81689760076$0
91932119153$0
101982614103$0

Showing top 10 of 10 providers billing this code