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#7028 of 11K

D4263

HCPCS Procedure Code

HCPCS code D4263 is the #7,028 most-billed Medicaid procedure code, with $31K in payments across 145 claims from 2018–2024. The national median cost per claim is $236.00.

Total Paid

$31K

0.00% of all spending

Total Claims

145

Providers

2

Avg Cost/Claim

$213

National Cost Distribution

How much do providers bill per claim for D4263? Based on 1 providers billing this code nationally.

Median

$236.00

Average

$236.00

Std Dev

Max

$236.00

Percentile Distribution (Cost per Claim)

p10
$236.00
p25
$236.00
Median
$236.00
p75
$236.00
p90
$236.00
p95
$236.00
p99
$236.00

50% of providers bill between $236.00 and $236.00 per claim for this code.

90% bill between $236.00 and $236.00.

Top 1% bill above $236.00.

About This Procedure

HCPCS code D4263 was billed by 2 providers across 145 claims, totaling $31K in Medicaid payments from 2018–2024. This code was used for 126 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$236.00

Providers Billing

1

National Spending

$31K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.