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#4671 of 11K

D1203

HCPCS Procedure Code

HCPCS code D1203 is the #4,671 most-billed Medicaid procedure code, with $459K in payments across 25K claims from 2018–2024. The national median cost per claim is $19.37.

Total Paid

$459K

0.00% of all spending

Total Claims

25K

Providers

58

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for D1203? Based on 15 providers billing this code nationally.

Median

$19.37

Average

$15.11

Std Dev

$7.73

Max

$20.63

Percentile Distribution (Cost per Claim)

p10
$2.00
p25
$11.94
Median
$19.37
p75
$20.06
p90
$20.45
p95
$20.61
p99
$20.63

50% of providers bill between $11.94 and $20.06 per claim for this code.

90% bill between $2.00 and $20.45.

Top 1% bill above $20.63.

About This Procedure

HCPCS code D1203 was billed by 58 providers across 25K claims, totaling $459K in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.37

Providers Billing

15

National Spending

$459K

Avg/Median Ratio

0.78×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1203

#ProviderTotal Paid
11659412930$183K
21356483259$111K
31144415183$41K
41700086147$34K
51457764417$30K
61598890741$26K
71184990905$15K
81316324999$11K
91639200934$5K
101487434908$1K
111275586877$987
121164646469$152
131447429303$104
141144340092$40
151922330554$24
161861778631$0
171982777959$0
181417350992$0
191649488727$0
201699878645$0

Showing top 20 of 58 providers billing this code