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#6575 of 11K

D4264

HCPCS Procedure Code

HCPCS code D4264 is the #6,575 most-billed Medicaid procedure code, with $55K in payments across 312 claims from 2018–2024. The national median cost per claim is $175.00.

Total Paid

$55K

0.00% of all spending

Total Claims

312

Providers

1

Avg Cost/Claim

$175

National Cost Distribution

How much do providers bill per claim for D4264? Based on 1 providers billing this code nationally.

Median

$175.00

Average

$175.00

Std Dev

Max

$175.00

Percentile Distribution (Cost per Claim)

p10
$175.00
p25
$175.00
Median
$175.00
p75
$175.00
p90
$175.00
p95
$175.00
p99
$175.00

50% of providers bill between $175.00 and $175.00 per claim for this code.

90% bill between $175.00 and $175.00.

Top 1% bill above $175.00.

About This Procedure

HCPCS code D4264 was billed by 1 providers across 312 claims, totaling $55K in Medicaid payments from 2018–2024. This code was used for 86 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$175.00

Providers Billing

1

National Spending

$55K

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.