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#2316 of 11K

D4220

HCPCS Procedure Code

HCPCS code D4220 is the #2,316 most-billed Medicaid procedure code, with $6.8M in payments across 34K claims from 2018–2024. The national median cost per claim is $390.32.

Total Paid

$6.8M

0.00% of all spending

Total Claims

34K

Providers

8

Avg Cost/Claim

$197

National Cost Distribution

How much do providers bill per claim for D4220? Based on 8 providers billing this code nationally.

Median

$390.32

Average

$372.45

Std Dev

$182.85

Max

$620.04

Percentile Distribution (Cost per Claim)

p10
$171.90
p25
$179.02
Median
$390.32
p75
$511.38
p90
$581.78
p95
$600.91
p99
$616.21

50% of providers bill between $179.02 and $511.38 per claim for this code.

90% bill between $171.90 and $581.78.

Top 1% bill above $616.21.

About This Procedure

HCPCS code D4220 was billed by 8 providers across 34K claims, totaling $6.8M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$390.32

Providers Billing

8

National Spending

$6.8M

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D4220

#ProviderTotal Paid
11700086147$3.1M
21356483259$2.2M
31598890741$707K
41659412930$313K
51144415183$187K
61184990905$166K
71457764417$67K
81316324999$7K

Showing top 8 of 8 providers billing this code