D4921
HCPCS Procedure Code
HCPCS code D4921 is the #5,903 most-billed Medicaid procedure code, with $122K in payments across 78K claims from 2018–2024. The national median cost per claim is $3.02. Costs vary widely — the 90th percentile is $132.17 per claim, 43.8× the median.
Total Paid
$122K
0.00% of all spending
Total Claims
78K
Providers
138
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for D4921? Based on 18 providers billing this code nationally.
Median
$3.02
Average
$37.71
Std Dev
$59.64
Max
$184.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.87 and $51.95 per claim for this code.
90% bill between $0.03 and $132.17.
Top 1% bill above $177.66.
About This Procedure
HCPCS code D4921 was billed by 138 providers across 78K claims, totaling $122K in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.02
Providers Billing
18
National Spending
$122K
Avg/Median Ratio
12.49×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for D4921
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1841308087 | $65K |
| 2 | 1114386380 | $19K |
| 3 | 1497020119 | $17K |
| 4 | 1407008154 | $14K |
| 5 | 1710275235 | $2K |
| 6 | 1801430913 | $1K |
| 7 | 1720518699 | $1K |
| 8 | 1538225503 | $760 |
| 9 | 1144332701 | $465 |
| 10 | 1881922193 | $402 |
| 11 | 1922261882 | $320 |
| 12 | 1073702767 | $187 |
| 13 | 1972877017 | $114 |
| 14 | 1982775458 | $98 |
| 15 | 1538399324 | $92 |
| 16 | 1972674448 | $92 |
| 17 | 1508349606 | $60 |
| 18 | 1043335987 | $22 |
| 19 | 1760546337 | $0 |
| 20 | 1316497134 | $0 |
Showing top 20 of 138 providers billing this code