#2195 of 11K

D2161

HCPCS Procedure Code

HCPCS code D2161 is the #2,195 most-billed Medicaid procedure code, with $8.0M in payments across 93K claims from 2018–2024. The national median cost per claim is $81.37.

Total Paid

$8.0M

0.00% of all spending

Total Claims

93K

Providers

369

Avg Cost/Claim

$87

National Cost Distribution

How much do providers bill per claim for D2161? Based on 366 providers billing this code nationally.

Median

$81.37

Average

$85.01

Std Dev

$30.99

Max

$222.32

Percentile Distribution (Cost per Claim)

p10

$49.60

p25

$70.77

Median

$81.37

p75

$101.54

p90

$130.14

p95

$141.29

p99

$171.55

50% of providers bill between $70.77 and $101.54 per claim for this code.

90% bill between $49.60 and $130.14.

Top 1% bill above $171.55.

About This Procedure

HCPCS code D2161 was billed by 369 providers across 93K claims, totaling $8.0M in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$81.37

Providers Billing

366

National Spending

$8.0M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D2161

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health	$935K	$84.30	1.0× median	Above Median
2	1477923100	$486K	$82.92	1.0× median	Above Median
3	1912272063	$406K	$77.40	1.0× median	Below Median
4	1447441720	$354K	$87.54	1.1× median	Above Median
5	1326184771	$307K	$76.67	0.9× median	Below Median
6	1821302951	$297K	$71.98	0.9× median	Below Median
7	1831108224	$223K	$119.51	1.5× median	Above 75th
8	1205050168	$211K	$122.38	1.5× median	Above 75th
9	1871658229	$176K	$68.67	0.8× median	Below Median
10	1356483259	$148K	$131.27	1.6× median	Top 10%
11	1518254887	$135K	$81.80	1.0× median	Above Median
12	1538222765	$129K	$131.48	1.6× median	Top 10%
13	1114324951	$120K	$101.68	1.2× median	Above 75th
14	1700086147	$118K	$130.00	1.6× median	Above 75th
15	1215337647	$117K	$114.36	1.4× median	Above 75th
16	1932247921	$110K	$140.28	1.7× median	Top 10%
17	1316019763	$108K	$83.49	1.0× median	Above Median
18	1205965704	$107K	$74.21	0.9× median	Below Median
19	1235311614	$96K	$123.13	1.5× median	Above 75th
20	1184959454	$93K	$80.65	1.0× median	Below Median

Showing top 20 of 369 providers billing this code

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