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#1807 of 11K

D3240

HCPCS Procedure Code

HCPCS code D3240 is the #1,807 most-billed Medicaid procedure code, with $13.5M in payments across 105K claims from 2018–2024. The national median cost per claim is $104.70. Costs vary widely — the 90th percentile is $232.23 per claim, 2.2× the median.

Total Paid

$13.5M

0.00% of all spending

Total Claims

105K

Providers

110

Avg Cost/Claim

$129

National Cost Distribution

How much do providers bill per claim for D3240? Based on 106 providers billing this code nationally.

Median

$104.70

Average

$132.23

Std Dev

$67.73

Max

$367.33

Percentile Distribution (Cost per Claim)

p10
$70.55
p25
$96.15
Median
$104.70
p75
$163.22
p90
$232.23
p95
$276.18
p99
$327.23

50% of providers bill between $96.15 and $163.22 per claim for this code.

90% bill between $70.55 and $232.23.

Top 1% bill above $327.23.

About This Procedure

HCPCS code D3240 was billed by 110 providers across 105K claims, totaling $13.5M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$104.70

Providers Billing

106

National Spending

$13.5M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D3240

#ProviderTotal Paid
11285834796$1.4M
21609848308$1.3M
31699814673$1.3M
41194939355$1.0M
51508086299$981K
61316441306$459K
71205148301$426K
81639577281$420K
91851488233$384K
101619108073$368K
111891030730$339K
121932553633$330K
131346298494$250K
141588969703$249K
151427264159$234K
161073746822$225K
171568604866$210K
181801291992$200K
191104313030$189K
201619694734$181K

Showing top 20 of 110 providers billing this code

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