D5212
HCPCS Procedure Code
HCPCS code D5212 is the #2,286 most-billed Medicaid procedure code, with $7.1M in payments across 21K claims from 2018–2024. The national median cost per claim is $402.44.
Total Paid
$7.1M
0.00% of all spending
Total Claims
21K
Providers
149
Avg Cost/Claim
$338
National Cost Distribution
How much do providers bill per claim for D5212? Based on 135 providers billing this code nationally.
Median
$402.44
Average
$420.44
Std Dev
$193.58
Max
$1,098.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $268.39 and $552.53 per claim for this code.
90% bill between $191.22 and $628.21.
Top 1% bill above $897.61.
About This Procedure
HCPCS code D5212 was billed by 149 providers across 21K claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$402.44
Providers Billing
135
National Spending
$7.1M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5212
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1205053899 | $919K |
| 2 | 1114324951 | $559K |
| 3 | 1003988122 | $508K |
| 4 | 1740271022 | $386K |
| 5 | 1659476356 | $318K |
| 6 | 1275234999 | $288K |
| 7 | 1629549829 | $225K |
| 8 | 1992006449 | $203K |
| 9 | 1619205721 | $183K |
| 10 | Brockton Neighborhood Health Center Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC) | $174K |
| 11 | 1477580827 | $154K |
| 12 | Lynn Community Health, Inc. Lynn, MA · Clinic/Center, Community Health | $147K |
| 13 | 1336641109 | $135K |
| 14 | 1295156636 | $131K |
| 15 | 1619688751 | $131K |
| 16 | 1316475304 | $116K |
| 17 | 1265415251 | $113K |
| 18 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $92K |
| 19 | 1225013899 | $92K |
| 20 | 1912430778 | $91K |
Showing top 20 of 149 providers billing this code