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#3070 of 11K

D3221

HCPCS Procedure Code

HCPCS code D3221 is the #3,070 most-billed Medicaid procedure code, with $2.6M in payments across 39K claims from 2018–2024. The national median cost per claim is $63.00.

Total Paid

$2.6M

0.00% of all spending

Total Claims

39K

Providers

209

Avg Cost/Claim

$66

National Cost Distribution

How much do providers bill per claim for D3221? Based on 196 providers billing this code nationally.

Median

$63.00

Average

$66.06

Std Dev

$35.28

Max

$350.00

Percentile Distribution (Cost per Claim)

p10
$42.39
p25
$60.80
Median
$63.00
p75
$63.00
p90
$82.42
p95
$121.45
p99
$221.02

50% of providers bill between $60.80 and $63.00 per claim for this code.

90% bill between $42.39 and $82.42.

Top 1% bill above $221.02.

About This Procedure

HCPCS code D3221 was billed by 209 providers across 39K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.00

Providers Billing

196

National Spending

$2.6M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D3221

#ProviderTotal Paid
11184058984$256K
21003415696$176K
31710036181$149K
41427451368$122K
51942717343$92K
61447430624$75K
71972068518$72K
81023145307$65K
91821168113$63K
101386937753$62K
111003988122$60K
121285063297$51K
131770978223$47K
141770800823$46K
151285740589$45K
161073679189$44K
171932191830$42K
181194393595$39K
191144378886$39K
201124333497$35K

Showing top 20 of 209 providers billing this code