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#4897 of 11K

D1321

HCPCS Procedure Code

HCPCS code D1321 is the #4,897 most-billed Medicaid procedure code, with $360K in payments across 26K claims from 2018–2024. The national median cost per claim is $14.86.

Total Paid

$360K

0.00% of all spending

Total Claims

26K

Providers

70

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for D1321? Based on 57 providers billing this code nationally.

Median

$14.86

Average

$15.14

Std Dev

$6.64

Max

$30.95

Percentile Distribution (Cost per Claim)

p10
$6.42
p25
$12.15
Median
$14.86
p75
$17.90
p90
$23.89
p95
$26.46
p99
$29.86

50% of providers bill between $12.15 and $17.90 per claim for this code.

90% bill between $6.42 and $23.89.

Top 1% bill above $29.86.

About This Procedure

HCPCS code D1321 was billed by 70 providers across 26K claims, totaling $360K in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.86

Providers Billing

57

National Spending

$360K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1321

#ProviderTotal Paid
11437792173$45K
21477751634$30K
31538209325$23K
41306145032$22K
51780763730$20K
61134541840$17K
71194920322$15K
81619337623$15K
91821015751$14K
101356066062$13K
111972621985$13K
121972806016$13K
131316019763$12K
141275088866$11K
151629114491$10K
161134443153$10K
171699157768$10K
181649368994$6K
191619904836$6K
201861033326$5K

Showing top 20 of 70 providers billing this code

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