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#5437 of 11K

D3331

HCPCS Procedure Code

HCPCS code D3331 is the #5,437 most-billed Medicaid procedure code, with $198K in payments across 1,922 claims from 2018–2024. The national median cost per claim is $102.68.

Total Paid

$198K

0.00% of all spending

Total Claims

1,922

Providers

12

Avg Cost/Claim

$103

National Cost Distribution

How much do providers bill per claim for D3331? Based on 11 providers billing this code nationally.

Median

$102.68

Average

$125.02

Std Dev

$116.82

Max

$435.39

Percentile Distribution (Cost per Claim)

p10
$43.44
p25
$49.99
Median
$102.68
p75
$146.79
p90
$200.00
p95
$317.70
p99
$411.85

50% of providers bill between $49.99 and $146.79 per claim for this code.

90% bill between $43.44 and $200.00.

Top 1% bill above $411.85.

About This Procedure

HCPCS code D3331 was billed by 12 providers across 1,922 claims, totaling $198K in Medicaid payments from 2018–2024. This code was used for 1,573 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$102.68

Providers Billing

11

National Spending

$198K

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D3331

#ProviderTotal Paid
11306998497$134K
21265588412$14K
31720138464$12K
41124191358$12K
51639596612$7K
61609920313$6K
71861014367$6K
81477632289$3K
91952579930$2K
101457311144$1K
111528207198$750
121316374580$0

Showing top 12 of 12 providers billing this code