D4261
HCPCS Procedure Code
HCPCS code D4261 is the #7,122 most-billed Medicaid procedure code, with $27K in payments across 80 claims from 2018–2024. The national median cost per claim is $343.00.
Total Paid
$27K
0.00% of all spending
Total Claims
80
Providers
2
Avg Cost/Claim
$343
National Cost Distribution
How much do providers bill per claim for D4261? Based on 2 providers billing this code nationally.
Median
$343.00
Average
$343.00
Std Dev
—
Max
$343.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $343.00 and $343.00 per claim for this code.
90% bill between $343.00 and $343.00.
Top 1% bill above $343.00.
About This Procedure
HCPCS code D4261 was billed by 2 providers across 80 claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 39 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$343.00
Providers Billing
2
National Spending
$27K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.