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#7089 of 11K

D0474

HCPCS Procedure Code

HCPCS code D0474 is the #7,089 most-billed Medicaid procedure code, with $29K in payments across 649 claims from 2018–2024. The national median cost per claim is $44.34.

Total Paid

$29K

0.00% of all spending

Total Claims

649

Providers

1

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for D0474? Based on 1 providers billing this code nationally.

Median

$44.34

Average

$44.34

Std Dev

Max

$44.34

Percentile Distribution (Cost per Claim)

p10
$44.34
p25
$44.34
Median
$44.34
p75
$44.34
p90
$44.34
p95
$44.34
p99
$44.34

50% of providers bill between $44.34 and $44.34 per claim for this code.

90% bill between $44.34 and $44.34.

Top 1% bill above $44.34.

About This Procedure

HCPCS code D0474 was billed by 1 providers across 649 claims, totaling $29K in Medicaid payments from 2018–2024. This code was used for 487 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.34

Providers Billing

1

National Spending

$29K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.