D4260
HCPCS Procedure Code
HCPCS code D4260 is the #2,281 most-billed Medicaid procedure code, with $7.1M in payments across 15K claims from 2018–2024. The national median cost per claim is $490.00.
Total Paid
$7.1M
0.00% of all spending
Total Claims
15K
Providers
21
Avg Cost/Claim
$474
National Cost Distribution
How much do providers bill per claim for D4260? Based on 21 providers billing this code nationally.
Median
$490.00
Average
$517.63
Std Dev
$99.59
Max
$792.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $488.90 and $490.00 per claim for this code.
90% bill between $484.62 and $690.69.
Top 1% bill above $781.92.
About This Procedure
HCPCS code D4260 was billed by 21 providers across 15K claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 5,056 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$490.00
Providers Billing
21
National Spending
$7.1M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D4260
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124233663 | $1.7M |
| 2 | 1265504617 | $982K |
| 3 | 1255616561 | $874K |
| 4 | 1710036181 | $738K |
| 5 | 1285161323 | $652K |
| 6 | 1720662257 | $468K |
| 7 | 1679932032 | $339K |
| 8 | 1902954506 | $332K |
| 9 | 1417479890 | $212K |
| 10 | 1609013481 | $178K |
| 11 | 1205906872 | $130K |
| 12 | 1003982638 | $99K |
| 13 | 1265588412 | $85K |
| 14 | 1184058984 | $83K |
| 15 | 1942717343 | $78K |
| 16 | 1063543577 | $56K |
| 17 | 1942643564 | $54K |
| 18 | 1518115377 | $54K |
| 19 | 1285796532 | $25K |
| 20 | 1760828776 | $23K |
Showing top 20 of 21 providers billing this code