D4381
HCPCS Procedure Code
HCPCS code D4381 is the #3,530 most-billed Medicaid procedure code, with $1.6M in payments across 22K claims from 2018–2024. The national median cost per claim is $82.00.
Total Paid
$1.6M
0.00% of all spending
Total Claims
22K
Providers
38
Avg Cost/Claim
$72
National Cost Distribution
How much do providers bill per claim for D4381? Based on 22 providers billing this code nationally.
Median
$82.00
Average
$85.35
Std Dev
$24.73
Max
$156.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $82.00 and $82.00 per claim for this code.
90% bill between $81.50 and $86.24.
Top 1% bill above $153.50.
About This Procedure
HCPCS code D4381 was billed by 38 providers across 22K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 3,506 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$82.00
Providers Billing
22
National Spending
$1.6M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D4381
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1831416767 | $471K |
| 2 | 1487961801 | $279K |
| 3 | 1265588412 | $193K |
| 4 | 1750817409 | $146K |
| 5 | 1154450005 | $86K |
| 6 | 1972971992 | $72K |
| 7 | 1316091184 | $59K |
| 8 | 1831226117 | $51K |
| 9 | 1033669189 | $48K |
| 10 | 1669481800 | $38K |
| 11 | 1013125731 | $21K |
| 12 | 1942643564 | $19K |
| 13 | 1952428369 | $14K |
| 14 | 1821118035 | $10K |
| 15 | 1346390440 | $10K |
| 16 | 1710303201 | $10K |
| 17 | 1699197434 | $9K |
| 18 | 1295156636 | $7K |
| 19 | 1871744276 | $3K |
| 20 | 1336343680 | $3K |
Showing top 20 of 38 providers billing this code