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#7678 of 11K

D5221

HCPCS Procedure Code

HCPCS code D5221 is the #7,678 most-billed Medicaid procedure code, with $12K in payments across 12 claims from 2018–2024. The national median cost per claim is $1,014.88.

Total Paid

$12K

0.00% of all spending

Total Claims

12

Providers

1

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for D5221? Based on 1 providers billing this code nationally.

Median

$1,014.88

Average

$1,014.88

Std Dev

Max

$1,014.88

Percentile Distribution (Cost per Claim)

p10
$1,014.88
p25
$1,014.88
Median
$1,014.88
p75
$1,014.88
p90
$1,014.88
p95
$1,014.88
p99
$1,014.88

50% of providers bill between $1,014.88 and $1,014.88 per claim for this code.

90% bill between $1,014.88 and $1,014.88.

Top 1% bill above $1,014.88.

About This Procedure

HCPCS code D5221 was billed by 1 providers across 12 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 12 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,014.88

Providers Billing

1

National Spending

$12K

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.