#741 of 11K

D4910

HCPCS Procedure Code

HCPCS code D4910 is the #741 most-billed Medicaid procedure code, with $91.4M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $75.56.

Total Paid

$91.4M

0.01% of all spending

Total Claims

1.4M

Providers

3,338

Avg Cost/Claim

$67

National Cost Distribution

How much do providers bill per claim for D4910? Based on 3,160 providers billing this code nationally.

Median

$75.56

Average

$69.91

Std Dev

$22.30

Max

$297.17

Percentile Distribution (Cost per Claim)

p10

$43.82

p25

$64.45

Median

$75.56

p75

$77.00

p90

$81.56

p95

$96.44

p99

$137.31

50% of providers bill between $64.45 and $77.00 per claim for this code.

90% bill between $43.82 and $81.56.

Top 1% bill above $137.31.

About This Procedure

HCPCS code D4910 was billed by 3,338 providers across 1.4M claims, totaling $91.4M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$75.56

Providers Billing

3,160

National Spending

$91.4M

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D4910

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1114454287	$2.9M	$80.00	1.1× median	Above 75th
2	1336384619	$2.4M	$77.25	1.0× median	Above 75th
3	1649679762	$1.4M	$76.83	1.0× median	Above Median
4	1386714228	$841K	$146.21	1.9× median	Top 1%
5	1457778680	$771K	$76.88	1.0× median	Above Median
6	1053301291	$741K	$76.89	1.0× median	Above Median
7	1124233663	$713K	$76.88	1.0× median	Above Median
8	1285001065	$592K	$74.28	1.0× median	Below Median
9	1396949541	$546K	$77.31	1.0× median	Above 75th
10	1649339581	$497K	$50.07	0.7× median	Below Median
11	1164553137	$482K	$63.81	0.8× median	Below Median
12	1801283106	$446K	$74.60	1.0× median	Below Median
13	1710036181	$431K	$73.64	1.0× median	Below Median
14	1760780910	$421K	$76.58	1.0× median	Above Median
15	1407030026	$417K	$282.97	3.7× median	Top 1%
16	1982012258	$403K	$76.66	1.0× median	Above Median
17	1275688202	$368K	$76.81	1.0× median	Above Median
18	1184934903	$364K	$69.75	0.9× median	Below Median
19	1073689600	$347K	$68.29	0.9× median	Below Median
20	1598078966	$340K	$81.10	1.1× median	Above 75th

Showing top 20 of 3,338 providers billing this code

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