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#5959 of 11K

D0415

HCPCS Procedure Code

HCPCS code D0415 is the #5,959 most-billed Medicaid procedure code, with $114K in payments across 6,167 claims from 2018–2024. The national median cost per claim is $20.05.

Total Paid

$114K

0.00% of all spending

Total Claims

6,167

Providers

9

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for D0415? Based on 5 providers billing this code nationally.

Median

$20.05

Average

$15.87

Std Dev

$8.67

Max

$21.40

Percentile Distribution (Cost per Claim)

p10
$7.15
p25
$16.88
Median
$20.05
p75
$20.37
p90
$20.99
p95
$21.19
p99
$21.36

50% of providers bill between $16.88 and $20.37 per claim for this code.

90% bill between $7.15 and $20.99.

Top 1% bill above $21.36.

About This Procedure

HCPCS code D0415 was billed by 9 providers across 6,167 claims, totaling $114K in Medicaid payments from 2018–2024. This code was used for 5,624 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.05

Providers Billing

5

National Spending

$114K

Avg/Median Ratio

0.79×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0415

#ProviderTotal Paid
11184824203$80K
21487774196$29K
31346476025$5K
41134534084$236
51295766160$56
61881089886$0
71326137001$0
81043708217$0
91225028657$0

Showing top 9 of 9 providers billing this code