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#2293 of 11K

D1353

HCPCS Procedure Code

HCPCS code D1353 is the #2,293 most-billed Medicaid procedure code, with $7.0M in payments across 483K claims from 2018–2024. The national median cost per claim is $14.03. Costs vary widely — the 90th percentile is $34.53 per claim, 2.5× the median.

Total Paid

$7.0M

0.00% of all spending

Total Claims

483K

Providers

450

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for D1353? Based on 360 providers billing this code nationally.

Median

$14.03

Average

$17.28

Std Dev

$11.58

Max

$115.70

Percentile Distribution (Cost per Claim)

p10
$8.05
p25
$9.94
Median
$14.03
p75
$24.34
p90
$34.53
p95
$35.38
p99
$44.51

50% of providers bill between $9.94 and $24.34 per claim for this code.

90% bill between $8.05 and $34.53.

Top 1% bill above $44.51.

About This Procedure

HCPCS code D1353 was billed by 450 providers across 483K claims, totaling $7.0M in Medicaid payments from 2018–2024. This code was used for 148K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.03

Providers Billing

360

National Spending

$7.0M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1353

#ProviderTotal Paid
11821299702$385K
21770948689$252K
31225545270$235K
41205131430$229K
51811952666$227K
61487683330$217K
71972744548$204K
81275873549$193K
91568618304$169K
101508815747$148K
111275998270$130K
121982708020$117K
131386183325$109K
141972921450$108K
151649719675$103K
161164484085$97K
171316617053$88K
181558765339$88K
191740779529$86K
201932527868$86K

Showing top 20 of 450 providers billing this code